Individual
COREY L. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1705 JUDSON RD STE 103-A, LONGVIEW, TX 75601-2938
(903) 238-9050
Mailing address
1705 JUDSON RD STE 103-A, LONGVIEW, TX 75601-2938
(903) 238-9050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67323
TX
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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