Individual provider · Type 1 NPI

Audrey Gibson

Mental Health Counselor · Lakeville, MN

NPI number 1780330910 Active

Practice location

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821

Call (952) 214-8959 Map

Mailing address

18941 Excalibur Trl
Farmington, MN 55024-7058

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X23282 (MN)

Mental Health Counselor: Definition to come...

16 other providers at this address

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About NPI 1780330910

Audrey Gibson's National Provider Identifier is 1780330910, issued on Feb 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeville, MN. The record was last updated on Feb 25, 2022.