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Individual

JUDITH GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASTER OF ARTS MA

Contact information

Practice address
1045 N 41ST ST, LINCOLN, NE 68503-2113
(402) 466-6263
Mailing address
1045 N 41ST ST, LINCOLN, NE 68503-2113
(402) 466-6263

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
214
NE
101YM0800X
Mental Health Counselor
Primary
628
NE
101YP2500X
Professional Counselor
549
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10181
MIDLANDS CHOICE
01
371093
MHN MNGEDHEALTH NETWORK
NE
01
6246121
UNITED BEHAVIORAL HEALTH
NE
01
84939
BLUE CROSS BLUE SHIELD
NE
Enumeration date
02/05/2007
Last updated
12/10/2007
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