| Gibson Counseling Services, Inc, Pc | |
|
27 B St Sw Ardmore OK 73401-6418 | |
| (580) 490-9192 | |
| (580) 490-9194 |
| Full Name | Gibson Counseling Services, Inc, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 27 B St Sw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Myria E. Gibson (PRESIDENT) |
| Authorized Official Contact | 5804909192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Counseling Services, Inc, Pc Po Box 5775 Ardmore OK 73403-0775 Ph: (580) 490-9192 | Gibson Counseling Services, Inc, Pc 27 B St Sw Ardmore OK 73401-6418 Ph: (580) 490-9192 |
| NPI Number | 1467651067 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467651067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2638 (Oklahoma) | Primary |
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