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Individual

GAYLA R GIBSON

Active
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Individual

GAYLA R GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.014685
IL
101YP2500X
Professional Counselor
Primary
2009035067
MO
133NN1002X
Nutrition Education Nutritionist
174H00000X
Health Educator

Other

Enumeration date
03/22/2011
Last updated
11/27/2019
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