Individual
MRS. TAMARA BAKER GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LACMH
Contact information
Practice address
19266 COASTAL HWY UNIT 4-1173, REHOBOTH BEACH, DE 19971-6117
(302) 515-6939
Mailing address
19266 COASTAL HWY UNIT 4-1173, REHOBOTH BEACH, DE 19971-6117
(302) 515-6939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AC-0010326
DE
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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