Individual
KRISTIN NICOLE JOHNSON-GIBEAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
2000 COOMBS FARM RD STE 106, MORGANTOWN, WV 26508-1126
(304) 381-2211
Mailing address
2000 COOMBS FARM RD STE 106, MORGANTOWN, WV 26508-1126
(304) 381-2211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2052
WV
Other
Enumeration date
09/18/2012
Last updated
10/12/2015
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