Individual
MR. GREGORY SCOTT GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
2204 BROTHERS RD, SUITE B, SANTA FE, NM 87505-6975
(505) 982-6728
(505) 982-6728
Mailing address
2204 BROTHERS RD, SUITE B, SANTA FE, NM 87505-6975
(505) 982-6728
(505) 982-6728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0151831
NM
101YP2500X
Professional Counselor
11071
AZ
Other
Enumeration date
07/08/2006
Last updated
01/09/2015
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