Individual
MELINDA ANNETTE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
1840 N RANGE LINE RD STE 6, JOPLIN, MO 64801-8322
(417) 624-7002
Mailing address
PO BOX 2038, PSYCHOLOGICAL ASSOCIATES, JOPLIN, MO 64803
(417) 624-7002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010019927
MO
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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