Individual
CLETUS GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 NORTH MAIN, FREDERICK, OK 73542
(580) 335-3320
Mailing address
1625 N 13TH ST, APARTMENT 8, FREDERICK, OK 73542-1433
(580) 210-8215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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