Individual
JASON GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 S STONEBRIDGE DR, MCKINNEY, TX 75070-7899
(972) 546-2874
Mailing address
2491 YUMA DR, LITTLE ELM, TX 75068-6655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
96602
TX
Other
Enumeration date
10/11/2024
Last updated
10/14/2024
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