Individual provider · Type 1 NPI
Earl Gibson
Mental Health Counselor · San Juan Capistrano, CA
NPI number
1982840112
Active
Practice location
26421 Pepperwood Ln
San Juan Capistrano, CA 92675-1133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 016854074 (CT) |
Mental Health Counselor: Definition to come...
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About NPI 1982840112
Earl Gibson's National Provider Identifier is 1982840112, issued on Dec 17, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Dec 17, 2008.