Individual
DR. CLARISSA TIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
150 WEST PARK LOOP, NW SUITE 370, HUNTSVILLE, AL 35806-1760
(256) 836-5063
Mailing address
150 WEST PARK LOOP, NW SUITE 370, HUNTSVILLE, AL 35806-1760
(256) 836-5063
(256) 858-1448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C3693A
AL
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC04938
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
10/09/2015
Last updated
09/09/2024
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