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Contact Information

JACOB A GADBERY, MS, LMHC
3754 W INDIAN TRAIL RD
SPOKANE, WA99208-4736
 Phone: 509-328-7041
 Fax: 509-328-7582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for JACOB A GADBERY · (Male)

NPI # 1104314699
Status Active
Credentials MS, LMHC
Entity Individual
Enumeration date 04/30/2018
Last updated 11/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WA Other CG60847607 DEPARTMENT OF HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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