Organization
CONNECTIVE CLINICAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA GIBSON LPCC, LICDC (PSYCHOTHERAPIST/OWNER)
(740) 247-5463
Entity
Organization
Contact information
Practice address
2377 FOURTH STREET, SYRACUSE, OH 45779
(740) 247-5463
(740) 212-8445
Mailing address
PO BOX 134, SYRACUSE, OH 45779-0134
(740) 247-5463
(740) 212-8445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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