Individual provider · Type 1 NPI

Jennifer Gibbs

Mental Health Counselor · Olney, IL

NPI number 1942498902 Active

Practice location

208 E Main St
Olney, IL 62450-2114

Call (618) 392-3090 Map

Fax (618) 392-2754

Mailing address

PO Box M, 504 Micah Drive
Olney, IL 62450-0913

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942498902

Jennifer Gibbs's National Provider Identifier is 1942498902, issued on Oct 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olney, IL. The record was last updated on Oct 4, 2007.