Individual
DR. JASON SIBSON
Active
Individual
DR. JASON SIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2013043796
MO
103TC0700X
Clinical Psychologist
Primary
911
NE
Other
Enumeration date
12/18/2013
Last updated
11/29/2016
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