Jerry U. Gibson, LPC, NCC

NPI #1154774966 in Madison, Alabama

Provider Information

NPI Number: 1154774966
Entity Type: Individual
Name: Jerry U. Gibson, LPC, NCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC, NCC
Enumeration Date: Jul 16, 2016
Last Updated: Jul 16, 2016

Practice Location

Address: 8089 HIGHWAY 72 W STE D
City: Madison
State: Alabama
ZIP Code: 35758-9531
Phone: (256) 213-1934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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