Individual provider · Type 1 NPI

Mary Kathleen Gibbons, L.C.P.C

Mental Health Counselor · Belleville, IL

NPI number 1124481312 Active

Practice location

2900 Frank Scott Pkwy W Ste 204
Belleville, IL 62223-5000

Call (618) 398-9850 Map

Fax (618) 398-9849

Other practice locations

  • 785 Wall St, O Fallon, IL 62269-1959 · (618) 406-8857

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2014044614 (MO)
Professional Counselor 101YP2500X180010634 (IL)
Mental Health Counselor Primary 101YM0800X180010634 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1124481312

Mary Kathleen Gibbons, L.C.P.C's National Provider Identifier is 1124481312, issued on Apr 4, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Belleville, IL. The record was last updated on Oct 31, 2024.