Individual provider · Type 1 NPI

Glenville Wayne Gibson, MA LMHC

Mental Health Counselor · Winter Park, FL

NPI number 1972623080 Active

Practice location

120 University Park Drive, Suite 215
Winter Park, FL 32792

Call (407) 657-5800 Map

Fax (407) 657-4269

Mailing address

PO Box 4728
Winter Park, FL 32793-4728

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH3101 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1972623080

Glenville Wayne Gibson, MA LMHC's National Provider Identifier is 1972623080, issued on Mar 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winter Park, FL. The record was last updated on Jul 8, 2007.