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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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

Active

MRS. KIMBERLY MARIE GYDISH-THEOBALD, M.ED., L.M.H.C.,CAP is a Mental Health Counselor healthcare provider located in ORANGE PARK, Florida. NPI 1740225176 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ORANGE PARK, FL

Registration Details

NPI Number
1740225176
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2006 (19.970782826905 yrs)
Last Updated
May 6, 2020
License
MH7918 (FL)

Practice Information

Address
1536 KINGSLEY AVE
SUITE 126
ORANGE PARK, FL, 320734587
Browse FL providers · Browse ZIP 32073
Phone
9042648311
Fax
9042648377
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in ORANGE PARK, FL

Name Credential NPI
MS. ELISABETH J TUDOR LMHC 1881659183
ROY F BRITT LMHC 1710905328
MARC J YOUNG LMHC 1669496691
MRS. SHARI BETH DOWD L.M.H.C. 1326124215
MICHAEL G. MCCLENDON LMHC 1972669992
CHERYL CARLYON L.M.H.C. 1437206281
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.