MS. Mary Kathleen Gibbons, L.C.P.C
NPI #1124481312 in Belleville, Illinois
Provider Information
- NPI Number
- 1124481312
- Entity Type
- Individual
- Name
- MS. Mary Kathleen Gibbons, L.C.P.C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- L.C.P.C
- Enumeration Date
- Apr 4, 2016
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 2900 FRANK SCOTT PKWY W STE 204
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-5000
- Phone
- (618) 398-9850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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