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Individual
JOHN ANDREW BACON GILBERT
Active
Individual
JOHN ANDREW BACON GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
109495
CA
101YM0800X
Mental Health Counselor
Primary
125762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134837495
AMFT
CA
01
—
1710557129
MFT
CA
Enumeration date
06/05/2019
Last updated
12/29/2023
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