Individual
MRS. JESSICA RENEE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., ED.S., NCSP
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5884
(575) 527-5886
Mailing address
2775 N ROADRUNNER PKWY APT 904, LAS CRUCES, NM 88011-8119
(575) 499-4002
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
369195
NM
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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