Individual
MRS. JAMIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC.
Contact information
Practice address
723 W KINGSHIGHWAY, PARAGOULD, AR 72450-5930
(870) 495-2911
(870) 495-2912
Mailing address
723 W KINGSHIGHWAY, PARAGOULD, AR 72450-5930
(870) 495-2911
(870) 495-2912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P0904022
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5AD45
BCBS
AR
Enumeration date
04/16/2012
Last updated
03/30/2021
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