Individual
SCOTT ANTHONY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
805 COMMERCE DR, LEITCHFIELD, KY 42754
(270) 765-5817
Mailing address
207 FAIRGROUNDS RD, HARDINSBURG, KY 40143-2585
(270) 765-5817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
06/22/2018
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