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Individual
JEFFREY SCOTT GIDDENS
Active
Individual
JEFFREY SCOTT GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
39000313A
IN
101YM0800X
Mental Health Counselor
Primary
39000313A
IN
101YP2500X
Professional Counselor
39000313A
IN
106H00000X
Marriage & Family Therapist
35001354A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530
—
IN
Enumeration date
02/21/2006
Last updated
09/19/2012
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