Individual
JUSTIN TRAVIS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA. LPC
Contact information
Practice address
3738 TEAYS VALLEY RD STE B, HURRICANE, WV 25526-9705
(304) 525-7851
(304) 525-1073
Mailing address
99 CRACKER BARREL DR STE 100, BARBOURSVILLE, WV 25504-1650
(304) 525-7851
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1914
WV
Other
Enumeration date
10/23/2008
Last updated
09/18/2024
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