Mr. Stacey L Gibson, DBHMBSMSLPCS
Mr. Stacey L Gibson, DBHMBSMSLPCS is a Mental Health Counselor in Durant, Oklahoma. Qualified in 2002, 24 years ago. Practices with Center for Psychological Development Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Texas.
- Years since qualifying
- 24
- Licensed in
- OK, TX
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1312 N 1st AveDurant, OK 74701-2810
Phone: (580) 920-2069
Fax: (580) 920-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 4047 (OK) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 59165 (TX) |
Record details
| NPI number | 1346448669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DBHMBSMSLPCS |
| Sole proprietor | Yes |
| NPI enumerated | July 8, 2007 |
| Last updated in NPPES | October 30, 2023 |
| Certification date | October 30, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Center For Psychological Development Inc — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Durant
-
Jeana Garcia
715 N 1st Ave, Durant, OK 74701-3801 · (580) 931-3008
-
Mrs. Jennifer Diane Garrison
1604 N Washington Ave, Durant, OK 74701-2128 · (580) 920-0909
-
Ruby Joyce Gay
1604 N Washington Ave, Durant, OK 74701-2128 · (580) 920-0909
-
Janice Rae Gibson
1604 N Washinton, Durant, OK 74701 · (580) 920-0909
-
MS. Tammie Kim Gilbert
1604 N Washington Ave, Durant, OK 74701-2128 · (580) 920-0909
-
Nikki Gill
1604 N Washington Ave, Durant, OK 74701-2128 · (580) 920-0909
-
Mrs. Stacy L Girdner
1604 N Washington Ave, Durant, OK 74701-2128 · (580) 920-0909
-
Teresa Golden
1604 N Washington Ave, Durant, OK 74701-2128 · (580) 920-0909