Individual
KRISTEN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC LPCC
Contact information
Practice address
510 S 8TH ST, MINNEAPOLIS, MN 55404-1029
(612) 594-2007
Mailing address
510 S 8TH ST, MINNEAPOLIS, MN 55404-1029
(612) 594-2007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304908
MN
101YM0800X
Mental Health Counselor
Primary
CC02840
MN
Other
Enumeration date
07/23/2020
Last updated
01/21/2022
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