person
Mrs. Kimberly Marie Gydish-theobald, MED,LMHC,CAP
Mental Health Counselor in Orange Park, Florida
NPI 1740225176

Kimberly Marie Gydish-theobald is a Mental Health Counselor based in Orange Park, FL and is specialized in Mental Health. Kimberly Marie Gydish-theobald practices in Orange Park, FL and has the professional credentials of MED,LMHC,CAP. The NPI Number for Kimberly Marie Gydish-theobald is 1740225176 and holds a License No. MH7918 (Florida).

The current practice location address for Kimberly Marie Gydish-theobald is 1536 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-264-8311 and via fax at 904-264-8377.

Location: 1536 Kingsley Ave, Orange Park, FL, 32073-4587
person
Provider Profile Details
NPI Number
1740225176
Provider Name
Kimberly Marie Gydish-theobald
Credential
MED,LMHC,CAP
Provider Entity Type
Individual
Gender
Female
Address
1536 Kingsley Ave, Orange Park, FL, 32073-4587
Phone Number
904-264-8311
Fax Number
904-264-8377
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1536 Kingsley Ave
City
State
Zip
32073-4587
Phone Number
904-264-8311
Fax Number
904-264-8377
person
Provider Business Mailing Address Details
Address
1536 Kingsley Ave
City
State
Zip
32073-4587
Phone Number
904-264-8311
Fax Number
904-264-8377
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH7918 (Florida)
Definition
Definition to come...
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