Organization
FLORENCETTA GIBSON, CNS LMFT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCETTA GIBSON (OWNER)
(318) 322-8482
Entity
Organization
Contact information
Practice address
141 DESIARD STREET, SUITE 810, MONROE, LA 71201
(318) 322-8482
Mailing address
141 DESIARD STREET, SUITE 810, MONROE, LA 71201
(318) 322-8482
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN036503 AP01392
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164101
—
LA
Enumeration date
04/18/2007
Last updated
05/20/2008
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