Individual
LEAH GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ATR-BC
Contact information
Practice address
101 LARAMIE CIR, PANAMA CITY, FL 32404-6631
(708) 567-5436
Mailing address
101 LARAMIE CIR, PANAMA CITY, FL 32404-6631
(708) 567-5436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008775
IL
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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