Individual
EMILY CHRISTINE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016286
IL
101YP2500X
Professional Counselor
83.4585294
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225684087
PRIVATE PRACTICE
IL
Enumeration date
01/31/2016
Last updated
08/11/2023
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