Individual provider · Type 1 NPI
Shariety Gibbs, MA, LPC
Professional Counselor · Madison, WI
NPI number
1033501713
Active
Practice location
702 N Blackhawk Ave
Madison, WI 53705-3357
Mailing address
440 N Parker Dr
Janesville, WI 53545-2444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 3005-226 (WI) |
| Professional Counselor Primary | 101YP2500X | 6627-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1033501713
Shariety Gibbs, MA, LPC's National Provider Identifier is 1033501713, issued on Mar 4, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Oct 9, 2017.