Individual
JEREMIAH D GIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
401 HOLSTON DR, GREENEVILLE, TN 37743-3127
(423) 639-1104
(423) 636-8365
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8964
TN
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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