Individual provider · Type 1 NPI

Jacqueline M. Gibson, LMHC

Mental Health Counselor · Defuniak Springs, FL

NPI number 1144216615 Active

Practice location

3686 US Highway 331 S
Defuniak Springs, FL 32435-8463

Call (850) 892-8045 Map

Fax (850) 892-8039

Mailing address

73 Dune Drive
Santa Rosa Beach, FL 32548

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH4668 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1144216615

Jacqueline M. Gibson, LMHC's National Provider Identifier is 1144216615, issued on Sep 21, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Defuniak Springs, FL. The record was last updated on Jul 8, 2007.