Individual provider · Type 1 NPI

Gay Nibert

Mental Health Counselor · South Daytona, FL

NPI number 1083010235 Active

Practice location

2400 S Ridgewood Ave, Suite 32
South Daytona, FL 32119-3097

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH 11797 (FL)
Community/Behavioral Health Agency 251S00000XIMH 11797 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1083010235

Gay Nibert's National Provider Identifier is 1083010235, issued on Nov 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Daytona, FL. The record was last updated on Nov 17, 2014.