Individual
STACIE JOYCE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 S 1470 E STE 201, ST GEORGE, UT 84790-2762
(435) 932-3672
Mailing address
1953 S GREAT BASIN DR, WASHINGTON, UT 84780-8258
(435) 632-5135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Enumeration date
05/05/2008
Last updated
11/20/2024
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