Individual
REGINALD GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC LICENSE
Contact information
Practice address
150 PATTERSON ST, ATMORE, AL 36502-1818
(251) 359-6459
Mailing address
150 PATTERSON ST, ATMORE, AL 36502-1818
(251) 359-6459
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RSE1138
AL
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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