Individual
DONALD L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHRT-CSP
Contact information
Practice address
1 EDGEMONT DR, PRESQUE ISLE, ME 04769-2036
(207) 764-3319
(207) 764-5377
Mailing address
1 EDGEMONT DR, PRESQUE ISLE, ME 04769-2036
(207) 764-3319
(207) 764-5377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124418850
—
ME
Enumeration date
02/03/2015
Last updated
02/03/2015
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