Individual provider · Type 1 NPI
Bobby Gibson, L.P.C.
Professional Counselor · Tyler, TX
NPI number
1275882201
Active
Practice location
401 East Front Street, Ste 233
Tyler, TX 75702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 16171 (TX) |
Professional Counselor: Definition to come...
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About NPI 1275882201
Bobby Gibson, L.P.C.'s National Provider Identifier is 1275882201, issued on Sep 6, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Sep 6, 2012.