Individual
JOHN BRIAN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CPCS
Contact information
Practice address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 456-3034
Mailing address
181 WHETSTONE WAY, VILLA RICA, GA 30180-6941
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC6018
GA
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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