Individual
MS. VERONICA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4366 PINEGROVE STREET, LAS VEGAS, NV 89147
(702) 245-4158
Mailing address
4366 PINEGROVE STREET, LAS VEGAS, NV 89147
(702) 245-4158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
04/22/2013
Last updated
04/26/2013
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