Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremiah Gibson

Individual provider Marriage & Family Therapist · NPI 1669784203

Mr. Jeremiah Gibson is a Marriage & Family Therapist in Brockton, Massachusetts. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010

Practice location Address checks out

1115 W Chestnut St
Brockton, MA 02301-7501
Phone: (508) 580-4691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 201445 (TX)

Record details

NPI number1669784203
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2010
Last updated in NPPESJuly 12, 2010
Mailing address1115 W Chestnut St, Brockton, MA 02301-7501

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