Individual
MS. KAREN ANN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6555 15 MILE RD, STERLING HEIGHTS, MI 48312-4511
(586) 783-8113
Mailing address
19766 KEMP ST, CLINTON TWP, MI 48035-3481
(313) 979-1010
(313) 979-1010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017155
MI
171M00000X
Case Manager/Care Coordinator
6802078416
MI
Other
Enumeration date
02/13/2007
Last updated
03/19/2019
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