Michael S Gibson
Michael S Gibson is a Mental Health Counselor in Medford, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
850 Swing Ln Unit 1Medford, OR 97501-1790
Phone: (541) 622-8592
Fax: (541) 622-8593
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1285199364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 4, 2019 |
| Last updated in NPPES | July 8, 2020 |
| Certification date | July 8, 2020 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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