Individual
MRS. KRISTIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
117 PARK AVE, OKLAHOMA CITY, OK 73102-9030
(405) 606-2260
(405) 606-2241
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 606-2260
(405) 606-2241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC04507
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4507
OKLAHOMA STATE LICENSE NUMBER
OK
Enumeration date
01/30/2010
Last updated
09/18/2024
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