Individual
JANET IRENE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
555 ROUND ROCK WEST DR, SUITE E232, ROUND ROCK, TX 78681-5052
(512) 677-4183
(866) 617-5633
Mailing address
555 ROUND ROCK WEST DR, SUITE E232, ROUND ROCK, TX 78681-5052
(512) 677-4183
(866) 617-5633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8748
FL
106H00000X
Marriage & Family Therapist
Primary
MT 2498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767861400
—
FL
01
—
Z00K3
BCBS
FL
Enumeration date
12/05/2006
Last updated
10/14/2013
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