Individual provider · Type 1 NPI

Letesha Renee Gibson, LPC

Mental Health Counselor · Rich Square, NC

NPI number 1063670511 Active

Practice location

Hwy 258 409 N Main Street
Rich Square, NC 27869

Mailing address

PO Box 1072
Rich Square, NC 27869-1072

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6945 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1063670511

Letesha Renee Gibson, LPC's National Provider Identifier is 1063670511, issued on May 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rich Square, NC. The record was last updated on May 30, 2008.