Organization
GIBSON FAMILY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARI DENISE GIBSON LPC (SOLE MBR)
(918) 607-0222
Entity
Organization
Contact information
Practice address
5200 S YALE AVE STE 203, TULSA, OK 74135-7486
(918) 607-0222
Mailing address
26620 DUCK POND LN, CLAREMORE, OK 74019-7537
(918) 607-0222
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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