Individual provider · Type 1 NPI

Kimberly Marie Gydish-Theobald, M.ED., L.M.H.C., CAP

Mental Health Counselor · Orange Park, FL

NPI number 1740225176 Active

About NPI 1740225176

Kimberly Marie Gydish-Theobald, M.ED., L.M.H.C., CAP's National Provider Identifier is 1740225176, issued on Jun 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orange Park, FL. The record was last updated on May 6, 2020.