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Individual
CHERYL K. GIBSON
Active
Individual
CHERYL K. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
248391
KY
101YM0800X
Mental Health Counselor
242173
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100646500
—
KY
Enumeration date
07/05/2018
Last updated
01/21/2023
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