Individual
EMILY CHRISTINE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC, NCC
Contact information
Practice address
305 QUAIL RIDGE DR, WESTMONT, IL 60559-6144
(630) 580-8080
Mailing address
305 QUAIL RIDGE DR, WESTMONT, IL 60559-6144
(630) 580-8080
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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