Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | IMH#8506 | FL |
NPI | 1003164039 |
---|---|
Provider Name | Mrs. Barbara Joan Gebbia |
First Address | Daytona Beach, FL 32114-3314 |
Second Address | Daytona Beach, FL 32114-3314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2012 |
Last Update Date | 23/08/2012 |