| Doctor Name: | JENNIFER ANN GIBLIN |
| NPI Number: | 1851555924 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | MH8558 |
| Business Practice Address: | 1228 S Daytona Ave Flagler Beach, FL - 321363715 |
| Business Phone Number: | 3868376383 |
| Business Fax Number: | |
| Mailing Address: | 1 Florida Park Drive, Suite 315 PALM COAST |
| State: | FL |
| Postal Code: | 32137 |
| Phone Number: | 3868376383 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2008 |
| NPI Last Update Date: | 01/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH8558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |