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Individual

DR. CHERYL GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Mailing address
3103 CLAIRMONT RD NE STE B, BROOKHAVEN, GA 30329-1043
(404) 636-1457
(404) 636-7449

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC005156
GA
101YP2500X
Professional Counselor
Primary
LPC009302
GA

Other

Enumeration date
11/23/2015
Last updated
05/28/2020
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