MRS. KIMBERLY GYDISH-THEOBALD, M.ED., L.M.H.C.,CAP

Counselor - Mental Health

Active Individual
NPI: 1740225176

Practice Address

1536 KINGSLEY AVE
SUITE 126
Orange Park, FL 32073

Phone: (904) 264-8311

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes MH7918 (FL)

Frequently Asked Questions

NPI 1740225176 is the National Provider Identifier for MRS. KIMBERLY GYDISH-THEOBALD, M.ED., L.M.H.C.,CAP, a Counselor - Mental Health provider located in Orange Park, FL. This NPI was enumerated on June 19, 2006.
MRS. KIMBERLY GYDISH-THEOBALD, M.ED., L.M.H.C.,CAP practices at 1536 KINGSLEY AVE, SUITE 126, Orange Park, FL 32073.

Quick Facts

NPI
1740225176
Type
Individual
Enumerated
Jun 19, 2006
Last Updated
May 6, 2020

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