Individual
JERRY U. GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
8089 HIGHWAY 72 W STE D, MADISON, AL 35758-9531
(256) 213-1934
Mailing address
7900 OLD MADISON PIKE APT 3011, MADISON, AL 35758-1484
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3579
AL
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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