Individual
DR. KIMBERLEY GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 HICKORY HILL RD, JACKSON, NJ 08527-1752
(908) 715-8037
Mailing address
85 HICKORY HILL RD, JACKSON, NJ 08527-1752
(908) 715-8037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NJ
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-1300963
—
NJ
Enumeration date
01/08/2021
Last updated
01/08/2021
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