Individual
EDWARD GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 MCGEHEE ST, REIDSVILLE, NC 27320-5620
(336) 392-4668
Mailing address
1321 MCGEHEE ST, REIDSVILLE, NC 27320-5620
(336) 392-4668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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