Individual
JOANINE MARIE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 N HOPE ST, ADA, OK 74820-5228
(580) 275-9412
Mailing address
229 N HOPE ST, ADA, OK 74820-5228
(580) 275-9412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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