Individual
MR. GARY GRANT GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, LPCC,
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(540) 682-3498
Mailing address
11071 W WEGENER RD, HIBBING, MN 55746-8215
(540) 682-3498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00016
MN
101YM0800X
Mental Health Counselor
0701003993
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255526174
—
MN
Enumeration date
09/13/2007
Last updated
08/12/2025
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