Susan Diane Gibbons, MA COUNSELING INTERN

NPI #1114689205 in Wheaton, Illinois

Provider Information

NPI Number: 1114689205
Entity Type: Individual
Name: Susan Diane Gibbons, MA COUNSELING INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA COUNSELING INTERN
Enumeration Date: Oct 6, 2021
Last Updated: Oct 6, 2021

Practice Location

Address: 1616 E ROOSEVELT RD STE 8
City: Wheaton
State: Illinois
ZIP Code: 60187-6850
Phone: (630) 588-1201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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