Individual
MS. JORDAN PHIFER GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
401 NEW HOPE DR, CORINTH, MS 38834-7458
(662) 287-7199
(662) 286-8908
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 284-9836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
10/03/2013
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