Organization
CPD INTEGRATED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L GIBSON LPC-S (CHIEF EXECUTIVE OFFICER)
(903) 337-1869
Entity
Organization
Contact information
Practice address
1105 MEMORIAL DR STE 202, DENISON, TX 75020-2043
(903) 337-1869
Mailing address
1105 MEMORIAL DR STE 202, DENISON, TX 75020-2043
(903) 337-1869
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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