Individual provider · Type 1 NPI
Kenneth Marvin Gibson, PC
Counselor · Cuyahoga Falls, OH
NPI number
1154520518
Active
Practice location
2231 Broad Blvd
Cuyahoga Falls, OH 44223-1411
Fax (330) 922-9977
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | C4872 (OH) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1154520518
Kenneth Marvin Gibson, PC's National Provider Identifier is 1154520518, issued on Jul 16, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cuyahoga Falls, OH. The record was last updated on Jul 16, 2007.