Individual
REBECA GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2866 STANTON RD SE, CONYERS, GA 30094-2652
(404) 438-9978
Mailing address
2866 STANTON RD SE, CONYERS, GA 30094-2652
(404) 438-9978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC012856
GA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
904270988A
—
GA
Enumeration date
06/13/2014
Last updated
04/09/2026
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