Individual
MS. BONNIE FITZ-GIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED LMHC
Contact information
Practice address
68 SOUTH SHORE ROAD, NANTUCKET, MA 02554
(508) 228-6996
Mailing address
PO BOX 3073, NANTUCKET, MA 02584-3073
(508) 228-6996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1921
MA
251S00000X
Community/Behavioral Health Agency
1921
MA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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