Individual
MR. JERRY GIBSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
102 DUNHILL PL NW, CLEVELAND, TN 37311-3885
(239) 348-5530
Mailing address
102 DUNHILL PL NW, CLEVELAND, TN 37311-3885
(239) 348-5530
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2580
TN
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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