Individual
MS. ANDREA LYNN GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, BSW
Contact information
Practice address
1 HERITAGE DR # 520, SOUTHGATE, MI 48195-3094
(734) 560-0173
Mailing address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4603
(313) 388-0472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008014
MI
101YP2500X
Professional Counselor
6401008014
MI
Other
Enumeration date
04/04/2007
Last updated
12/16/2019
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