Individual
OLIVIA MARIE LOPEZ GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 EL DORADO ST, CRESCENT CITY, CA 95531-2110
(707) 464-0260
Mailing address
780 LAKE ST, CRESCENT CITY, CA 95531-2013
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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