Individual provider · Type 1 NPI
Corey L. Gibson, M.A.
Professional Counselor · Longview, TX
NPI number
1891037784
Active
Practice location
1705 Judson Rd Ste 103-A
Longview, TX 75601-2938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 67323 (TX) |
Professional Counselor: Definition to come...
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About NPI 1891037784
Corey L. Gibson, M.A.'s National Provider Identifier is 1891037784, issued on Mar 19, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Mar 19, 2013.