Gibson, Jacqueline M

Gibson, Jacqueline M is an individual health care provider with primary practice located at 3686 Us Highway 331 S , Defuniak Springs FL 32435-8463. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gibson, Jacqueline M can be contacted via phone (850) 892-8045.

Contact Information

Primary practice address
3686 Us Highway 331 S Defuniak Springs FL 32435-8463
Phone: (850) 892-8045
Fax: (850) 892-8039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH4668 Florida

Profile Details

NPI number 1144216615
LBN Legal business name Gibson, Jacqueline M
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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