Angela Gipson, LAC

NPI #1326370610 in Manila, Arkansas

Provider Information

NPI Number: 1326370610
Entity Type: Individual
Name: Angela Gipson, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LAC
Enumeration Date: Feb 11, 2010
Last Updated: Feb 21, 2024

Practice Location

Address: 920 MEDICAL DR
City: Manila
State: Arkansas
ZIP Code: 72442-8416
Phone: (870) 570-0358

Specialties & Taxonomy Codes

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

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