Individual
KAREN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CLIN PSY
Contact information
Practice address
8012 STEWART MOUNTAIN DR, EAGLE RIVER, AK 99577-9013
(907) 279-9627
(907) 279-9632
Mailing address
509 W 3RD AVE, #103, ANCHORAGE, AK 99501-2236
(907) 279-9627
(907) 279-9632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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