Individual
KATHRYN ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER OF ARTS
Contact information
Practice address
899 BAYSHORE RD, VILLAS, NJ 08251-2780
(609) 886-8666
(609) 886-9666
Mailing address
1229 SHORE RD, NORTHFIELD, NJ 08225-2541
(609) 646-1542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00167300
NJ
101YP2500X
Professional Counselor
Primary
37PC00401400
NJ
Other
Enumeration date
03/07/2007
Last updated
04/16/2024
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