Gibson, Jacob
Gibson, Jacob is an sole proprietor health care provider with primary practice located at 11607 Lampton View Dr , South Jordan UT 84095-7898. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gibson, Jacob can be contacted via phone (801) 301-2450.Contact Information
Primary practice address
11607 Lampton View Dr
South Jordan UT 84095-7898
Phone: (801) 301-2450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 5642816-3902 | Utah |
Profile Details
| NPI number | 1144577529 |
|---|---|
| LBN Legal business name | Gibson, Jacob |
| Credentials | PHD, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2012 |
| Last updated | Aug 5th, 2012 - about 12 years ago |
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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