Thibeault, John M

Thibeault, John M is an sole proprietor health care provider with primary practice located at 55 Lake St , Gardner MA 01440-3876. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Thibeault, John M can be contacted via phone (508) 849-5648.

Contact Information

Primary practice address
55 Lake St Gardner MA 01440-3876
Phone: (508) 849-5648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5590 Massachusetts

Profile Details

NPI number 1932245180
LBN Legal business name Thibeault, John M
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 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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