Individual provider · Type 1 NPI

Michelle Gibson, MS, LMHCA

Mental Health Counselor · South Bend, IN

NPI number 1770054769 Active

Practice location

415 E Madison St
South Bend, IN 46617-2322

Call (574) 533-1234 Map

Fax (574) 537-2652

Mailing address

PO Box 809
Goshen, IN 46527-0809

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770054769

Michelle Gibson, MS, LMHCA's National Provider Identifier is 1770054769, issued on Dec 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Bend, IN. The record was last updated on Dec 17, 2018.