Nicole L Gibbs
Counselor in Charleston, SC. Individual provider (NPI-1).
NPI number1093216319
StatusActive
Last updated in NPPESFeb 22, 2018
Details
- NPI
- 1093216319
- Entity type
- Individual (NPI-1)
- Name
- Nicole L Gibbs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2018
- Last updated
- Feb 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2100 Charlie Hall BlvdCharleston, SC 29414-5832
Phone 843-852-4100
Mailing address
2100 Charlie Hall BlvdCharleston, SC 29414-5832
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