Individual
DR. MICHAEL JAY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
2012 10TH ST, MENOMINEE, MI 49858-2194
(906) 863-5646
(906) 863-1078
Mailing address
1318 1ST ST APT 8, MENOMINEE, MI 49858-2861
(906) 864-2454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007904
MI
101YP2500X
Professional Counselor
—
IL
Other
Enumeration date
10/17/2006
Last updated
02/01/2008
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