Gadbery, Jacob A

Gadbery, Jacob A is an individual health care provider with primary practice located at 3754 W Indian Trail Rd , Spokane WA 99208-4736. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gadbery, Jacob A can be contacted via phone (509) 328-7041.

Contact Information

Primary practice address
3754 W Indian Trail Rd Spokane WA 99208-4736
Phone: (509) 328-7041
Fax: (509) 328-7582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1104314699
LBN Legal business name Gadbery, Jacob A
Credentials MS, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2018
Last updated Nov 28th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104314699 NPPES
Washington Other CG60847607 DEPARTMENT OF HEALTH

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