Individual
SHARIETY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
702 N BLACKHAWK AVE, MADISON, WI 53705-3357
(608) 233-3037
Mailing address
440 N PARKER DR, JANESVILLE, WI 53545-2444
(608) 751-2700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3005-226
WI
101YP2500X
Professional Counselor
Primary
6627-125
WI
Other
Enumeration date
03/04/2015
Last updated
10/09/2017
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