| Brandon J Gibson, LAPC | |
|
102 Mandan Ave, Mandan, ND 58554-3771 | |
| (701) 667-5000 | |
| (651) 925-0057 |
| Full Name | Brandon J Gibson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 102 Mandan Ave, Mandan, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538828736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1069-12-15-21A (North Dakota) | Primary |
| Entity Name | Sanford Bismarck |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
| Entity Name | Village Family Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040316000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon J Gibson, LAPC Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Brandon J Gibson, LAPC 102 Mandan Ave, Mandan, ND 58554-3771 Ph: (701) 667-5000 |
Heather Moser, LMAC, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3426 Bay Shore Bnd Se, Mandan, ND 58554 Phone: 701-516-6980 | |
Kathleen Schmaltz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 W Main St, Mandan, ND 58554 Phone: 701-663-2122 Fax: 701-663-7521 | |
Michelle Lee Frei, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 6th Ave Se, Mandan, ND 58554 Phone: 701-663-8228 Fax: 701-663-0912 | |
Mrs. Karissa Marie Kautzman, L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 2401 46th Ave Se Ste 102, Mandan, ND 58554 Phone: 701-595-3626 | |
Darrel G Lindensmith, MA MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3030 Old Red Trail St., Mandan, ND 58554 Phone: 701-391-9131 Fax: 701-663-2763 | |
Jeanne Marie Hettich Farnsworth, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Shady Acres St Ne, Mandan, ND 58554 Phone: 605-281-0528 Fax: 701-255-4495 |