Individual provider · Type 1 NPI
Jade D. Gibbon, LPC
Mental Health Counselor · Lakewood, CO
NPI number
1609962273
Active
Practice location
7177 W. Kentucky Dr., Apt. E
Lakewood, CO 80226-4449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 4040 (CO) |
| Mental Health Counselor | 101YM0800X | 12796 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1609962273
Jade D. Gibbon, LPC's National Provider Identifier is 1609962273, issued on Oct 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, CO. The record was last updated on Jul 8, 2007.