Individual provider · Type 1 NPI

Ebonik Gibson

Mental Health Counselor · Cherry Hill, NJ

NPI number 1679958623 Active

Practice location

2250 Chapel Ave W
Cherry Hill, NJ 08002-2051

Call (856) 428-4357 Map

Mailing address

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679958623

Ebonik Gibson's National Provider Identifier is 1679958623, issued on Jul 20, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cherry Hill, NJ. The record was last updated on Jul 20, 2015.