Individual
CINDY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
905 PATCO SPUR AVE, YUKON, OK 73099-7107
(405) 250-7920
Mailing address
PO BOX 271612, OKLAHOMA CITY, OK 73137-1612
(405) 250-7920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982931069
—
OK
Enumeration date
11/10/2009
Last updated
02/24/2011
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