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Individual
ALEXIS VICTORIA GIBSON
Active
Individual
ALEXIS VICTORIA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
121752
CA
106H00000X
Marriage & Family Therapist
Primary
139818
CA
106H00000X
Marriage & Family Therapist
PMFT-295
WY
Other
Enumeration date
06/19/2020
Last updated
02/16/2024
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