Individual
MR. ANDRE DEXTER GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
145 WEBSTER CT, NEWINGTON, CT 06111-5125
(860) 967-1464
Mailing address
145 WEBSTER CT, NEWINGTON, CT 06111-5125
(860) 967-1464
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2806
CT
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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