Individual
MR. JASON LEE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(256) 701-5651
(256) 429-9411
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 975-4291
(256) 325-1890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2808
AL
Other
Enumeration date
07/12/2012
Last updated
07/11/2024
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