Individual
CHRISTINE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1781 RADISSON ST NW, PALM BAY, FL 32907-8518
(518) 353-2290
Mailing address
1781 RADISSON ST NW, PALM BAY, FL 32907-8518
(518) 353-2290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19075
NC
101YM0800X
Mental Health Counselor
Primary
MH18491
FL
Other
Enumeration date
07/18/2016
Last updated
02/28/2024
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