Individual
MALINDA S GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4541 5TH STREET RD STE 6, HUNTINGTON, WV 25701-9112
(304) 972-7906
Mailing address
4541 5TH STREET RD STE 6, HUNTINGTON, WV 25701-9112
(304) 972-7906
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
04/08/2026
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