Individual provider · Type 1 NPI

Cierra Brooke Gibson, MSW

Mental Health Counselor · Fort Wayne, IN

NPI number 1154054245 Active

Practice location

2100 Goshen Rd
Fort Wayne, IN 46808-1493

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154054245

Cierra Brooke Gibson, MSW's National Provider Identifier is 1154054245, issued on Jul 6, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 6, 2022.