Individual
HOLLIE SUSAN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 202-5709
(910) 202-9966
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A13760
NC
101YP2500X
Professional Counselor
Primary
A13760
NC
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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