Individual
MRS. KIMBERLY ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8170 BEVERLY BLVD, LOS ANGELES, CA 90048-4524
(310) 428-0165
Mailing address
8170 BEVERLY BLVD, LOS ANGELES, CA 90048-4524
(310) 428-0165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC605
CA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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