Mike G Gibson, QBHP
NPI #1104479419 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1104479419
- Entity Type
- Individual
- Name
- Mike G Gibson, QBHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- QBHP
- Enumeration Date
- Jul 17, 2019
- Last Updated
- Jul 17, 2019
Practice Location
- Address
- 3111 S 70TH ST
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-5017
- Phone
- (479) 452-6550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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