Individual
SARA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4750 N CENTRAL AVE STE 120, PHOENIX, AZ 85012-1755
(602) 846-5123
Mailing address
1747 E NORTHERN AVE UNIT 114, PHOENIX, AZ 85020-3984
(602) 846-5123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-22707
AZ
Other
Enumeration date
06/25/2018
Last updated
03/13/2024
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