Jonathan Gibbs

NPI #1255888426 in Shawnee, Oklahoma

Provider Information

NPI Number: 1255888426
Entity Type: Individual
Name: Jonathan Gibbs
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 6, 2016
Last Updated: Sep 6, 2016

Practice Location

Address: 1127 N KICKAPOO AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74801-4845
Phone: (405) 214-0116

Specialties & Taxonomy Codes

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

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