Individual
KIMBERLY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4588 N RANCHO DR, SUITE 12, LAS VEGAS, NV 89130-3426
(702) 396-3464
Mailing address
PO BOX 572238, LAS VEGAS, NV 89157-2238
(702) 338-4034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
06-05AE-PL
AR
101YP2500X
Professional Counselor
Primary
CI0010
NV
Other
Enumeration date
12/26/2006
Last updated
10/07/2009
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