Jerry Dean Gison
NPI #1215435029 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1215435029
- Entity Type
- Organization
- Organization Name
- Jerry Dean Gison
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 26, 2018
- Last Updated
- Jan 26, 2018
Practice Location
- Address
- 125 BROOKDALE DR STE 125
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26508-8799
- Phone
- (304) 241-1108
Authorized Official
- Name
- JERRY GIBSON
- Title
- OWNER
- Phone
- (276) 698-8722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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