Individual provider · Type 1 NPI

Shanita Gibson, LAC

Mental Health Counselor · Little Rock, AR

NPI number 1336650589 Active

Practice location

1405 N Pierce St Ste 101
Little Rock, AR 72207-5379

Call (501) 603-2147 Map

Fax (501) 603-0324

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA1708254 (AR)

Mental Health Counselor: Definition to come...

18 other providers at this address

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About NPI 1336650589

Shanita Gibson, LAC's National Provider Identifier is 1336650589, issued on Oct 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on Oct 16, 2017.