Individual provider · Type 1 NPI
Charlotte Gibbons, LCSW
Counselor · Montezuma Creek, UT
NPI number
1699005751
Active
Practice location
East Highway 262
Montezuma Creek, UT 84534
Fax (435) 651-3376
Mailing address
PO Box 130
Montezuma Creek, UT 84534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 138698-3501 |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1699005751
Charlotte Gibbons, LCSW's National Provider Identifier is 1699005751, issued on Jan 12, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Montezuma Creek, UT. The record was last updated on Jan 12, 2010.