Individual
JAMES MARK GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC MAC
Contact information
Practice address
601 GREGG AVE, FLORENCE, SC 29501
(843) 665-9349
(843) 669-6122
Mailing address
PO BOX 6196, FLORENCE, SC 29501
(843) 665-9349
(843) 669-6122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3325
SC
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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