Individual provider · Type 1 NPI
Randall Charles Gibson, LPC
Professional Counselor · Dallas, TX
NPI number
1891788170
Active
Practice location
5710 Lbj Fwy, Ste 210
Dallas, TX 75240-6324
Fax (972) 934-8115
Mailing address
3929 Weeburn Dr
Dallas, TX 75229-2719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 14397 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1891788170
Randall Charles Gibson, LPC's National Provider Identifier is 1891788170, issued on Aug 23, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.