Jacob Bruce Gideon

NPI #1235963224 in Benzonia, Michigan

Provider Information

NPI Number
1235963224
Entity Type
Individual
Name
Jacob Bruce Gideon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 30, 2024
Last Updated
Nov 4, 2025

Practice Location

Address
6051 FRANKFORT HWY STE 200
ZIP Code
49616-9651
Phone
(231) 655-3146

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Behavior Technician

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