Organization
SAMANTHA GIBB LCSW COUNSELING, LLC
Active
Other names
Shoreview Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA GIBB MSW, LICSW, LCSW (OWNER/PSYCHOTHERAPIST)
(360) 499-2763
Entity
Organization
Contact information
Practice address
522 W RIVERSIDE AVE # 8151, SPOKANE, WA 99201-0580
(360) 499-2763
Mailing address
PO BOX 33524, PENSACOLA, FL 32508-3524
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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