Individual
EMILY MARLENE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1411097
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
09/01/2009
Last updated
11/25/2014
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