Individual
MRS. AMANDA RENEE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
850 W UNIVERSITY DR, SUITE C, ROCHESTER, MI 48307-1852
(248) 990-2300
Mailing address
850 W UNIVERSITY DR, SUITE C, ROCHESTER, MI 48307-1852
(248) 990-2300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012606
MI
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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