Individual
AMANDA S GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7739 E 88TH ST, INDIANAPOLIS, IN 46256-1231
(317) 578-0410
Mailing address
11867 WAPITI WAY, NOBLESVILLE, IN 46060-7933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99058324A
IN
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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