Individual
MS. KATIE PAULA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
1200 N WEST AVE STE 300, JACKSON, MI 49202-2174
(517) 789-1234
Mailing address
1200 N WEST AVE STE 300, JACKSON, MI 49202-2174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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