Joanine Marie Gibson

NPI #1982981106 in Ada, Oklahoma

Provider Information

NPI Number: 1982981106
Entity Type: Individual
Name: Joanine Marie Gibson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 16, 2011
Last Updated: Nov 16, 2011

Practice Location

Address: 229 N HOPE ST
City: Ada
State: Oklahoma
ZIP Code: 74820-5228
Phone: (580) 275-9412

Specialties & Taxonomy Codes

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

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