Gibson, Candice Kiera

Gibson, Candice Kiera is an sole proprietor health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Moore GA 31905-2102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gibson, Candice Kiera can be contacted via phone (762) 408-4076.

Contact Information

Primary practice address
6600 Van Aalst Blvd Bldg 9250 Fort Moore GA 31905-2102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801104207 Michigan

Profile Details

NPI number 1457976516
LBN Legal business name Gibson, Candice Kiera
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2020
Last updated Feb 29th, 2024 - 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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