Individual provider · Type 1 NPI

Johanna Gibson

Mental Health Counselor · Moore, OK

NPI number 1508627266 Active

Practice location

620 NW 5th St Ste D
Moore, OK 73160-3947

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508627266

Johanna Gibson's National Provider Identifier is 1508627266, issued on Jan 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Jan 19, 2024.