Individual
JESSICA LYNN GIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 SPRING ST STE 1, JEFFERSONVILLE, IN 47130-3736
(866) 300-6707
Mailing address
9613 APPLEWOOD CT, CRESTWOOD, KY 40014-7552
(808) 738-2624
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
271799
KY
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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