Individual
TRACEY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5749 BELLEAU DR, MONTGOMERY, AL 36117-3015
(706) 894-8040
Mailing address
5749 BELLEAU DR, MONTGOMERY, AL 36117-3015
(706) 894-8040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4510
AL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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