Individual
RAVEN NICOLE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 E NC HIGHWAY 54 STE 320, DURHAM, NC 27713-2490
(919) 907-3334
Mailing address
249 E NC HIGHWAY 54 STE 320, DURHAM, NC 27713-2490
(919) 907-3334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A17526
NC
101YP2500X
Professional Counselor
Primary
A17526
NC
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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