Gibson, Jeremiah

Gibson, Jeremiah is an individual health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gibson, Jeremiah can be contacted via phone (508) 580-4691.

Contact Information

Primary practice address
1115 W Chestnut St Brockton MA 02301-7501
Phone: (508) 580-4691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 201445 Texas

Profile Details

NPI number 1669784203
LBN Legal business name Gibson, Jeremiah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2010
Last updated Jul 12th, 2010 - about 16 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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