Individual
NIKKI GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAMFT
Contact information
Practice address
3640 TALMAGE CIR STE 205, VADNAIS HEIGHTS, MN 55110-4183
(612) 655-8018
Mailing address
4621 158TH ST N, HUGO, MN 55038-7103
(612) 655-8018
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
MN
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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