Individual
TABER GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
9494 W FLAMINGO RD STE 101, LAS VEGAS, NV 89147-5718
(702) 659-9043
(801) 877-0864
Mailing address
PO BOX 50207, PROVO, UT 84605-0207
(702) 659-9043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
11770890-3501
UT
Other
Enumeration date
06/27/2016
Last updated
09/22/2022
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