Individual provider · Type 1 NPI

Justin Gibbons

Mental Health Counselor · Oklahoma City, OK

NPI number 1285928655 Active

Practice location

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Mailing address

11609 N Meridian Pl, Apt. A
Oklahoma City, OK 73162-3939

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285928655

Justin Gibbons's National Provider Identifier is 1285928655, issued on Jun 3, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 3, 2011.