Individual
CAMILLE C GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT MS
Contact information
Practice address
195 N GRANT AVE STE 250, COLUMBUS, OH 43215-2855
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162710
OH
106H00000X
Marriage & Family Therapist
M.1900147-TRNE
OH
106H00000X
Marriage & Family Therapist
Primary
M2000142
OH
Other
Enumeration date
08/02/2019
Last updated
10/09/2024
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