MS. Jalisa Vonett Gibbs

NPI #1255195327 in Kingstree, South Carolina

Provider Information

NPI Number: 1255195327
Entity Type: Individual
Name: MS. Jalisa Vonett Gibbs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 9, 2024
Last Updated: Feb 9, 2024

Practice Location

Address: 128 E MILL ST
City: Kingstree
State: South Carolina
ZIP Code: 29556-3428
Phone: (843) 355-9922

Specialties & Taxonomy Codes

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

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