Individual
STELLA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CARRERA DR, LONDON, KY 40741-6303
(606) 260-8962
Mailing address
300 CARRERA DR, LONDON, KY 40741-6303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
244303
KY
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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