Individual
MR. PAUL K. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC, LMFT
Contact information
Practice address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 428-2944
(480) 680-5361
Mailing address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 428-2944
(480) 680-5361
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-10254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346214
—
AZ
Enumeration date
02/08/2016
Last updated
12/22/2023
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