Gibson, Tennille Rochelle

Gibson, Tennille Rochelle is an individual health care provider with primary practice located at 1108 S Van Dyke Rd , Bad Axe MI 48413-9615. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gibson, Tennille Rochelle can be contacted via phone (989) 269-9293.

Contact Information

Primary practice address
1108 S Van Dyke Rd Bad Axe MI 48413-9615
Phone: (989) 269-9293
Fax: (989) 269-7455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801087816 Michigan

Profile Details

NPI number 1497994735
LBN Legal business name Gibson, Tennille Rochelle
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2009
Last updated Feb 10th, 2009 - about 17 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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