MS. Mary Puckett Gibson, M.S., NCC, LPC
NPI #1205825437 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1205825437
- Entity Type
- Individual
- Name
- MS. Mary Puckett Gibson, M.S., NCC, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- M.S., NCC, LPC
- Enumeration Date
- Oct 20, 2005
- Last Updated
- Jul 23, 2014
Practice Location
- Address
- 223 SCENIC HWY
- Address 2
- SUITE 100
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30045-5603
- Phone
- (770) 995-1846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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