Individual provider · Type 1 NPI

Connie Gibson, LPC

Professional Counselor · Newnan, GA

NPI number 1144650425 Active

Practice location

121 Jackson St
Newnan, GA 30263-1572

Call (770) 251-5873 Map

Fax (770) 304-2201

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1876 (GA)
Professional Counselor Primary 101YP2500XLPC006647 (GA)

Professional Counselor: Definition to come...

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About NPI 1144650425

Connie Gibson, LPC's National Provider Identifier is 1144650425, issued on Nov 22, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newnan, GA. The record was last updated on Nov 22, 2013.