Individual
MS. EMILY ANN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
4462 MARIN BLVD, PORT CLINTON, OH 43452-4029
(402) 871-3474
(419) 960-7309
Mailing address
4462 MARIN BLVD, PORT CLINTON, OH 43452-4029
(402) 871-3474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E1300062
OH
101YP2500X
Professional Counselor
Primary
E.1300062
OH
Other
Enumeration date
11/06/2013
Last updated
05/17/2023
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