Individual
REBECCA CAROL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1205 N 1ST ST, TEMPLE, TX 76501-2046
(254) 760-9394
Mailing address
1205 N 1ST ST, TEMPLE, TX 76501-2046
(254) 760-9394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17663
TX
101YM0800X
Mental Health Counselor
17663
TX
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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