MRS. Susann Renee Light-Gibson, MED, CSAC
NPI #1649315300 in Big Stone Gap, Virginia
Provider Information
- NPI Number
- 1649315300
- Entity Type
- Individual
- Name
- MRS. Susann Renee Light-Gibson, MED, CSAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MED, CSAC
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3169 2ND AVE E
- City
- Big Stone Gap
- State
- Virginia
- ZIP Code
- 24219-3805
- Phone
- (276) 523-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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