Individual provider · Type 1 NPI
Alica K. Gibson, MHC, MA
Mental Health Counselor · Fort Wayne, IN
NPI number
1861272049
Active
Practice location
1114 Pathfinder Cv
Fort Wayne, IN 46845-9142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1861272049
Alica K. Gibson, MHC, MA's National Provider Identifier is 1861272049, issued on Oct 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 4, 2023.