Individual
AMANDA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-MHSP, NCC
Contact information
Practice address
200 E MAIN ST, MURFREESBORO, TN 37130-3729
(615) 383-2115
Mailing address
3721 SELINA DR, MURFREESBORO, TN 37128-0646
(630) 215-5375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5500
TN
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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