Individual
GEORGEANNA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1621 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3244
(270) 746-6600
(270) 842-9008
Mailing address
9940 ALVATON RD, ALVATON, KY 42122-9657
(270) 746-6600
(270) 842-9008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
104885
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100274700
—
KY
Enumeration date
06/30/2006
Last updated
06/27/2022
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