Lisa Gibson, LPC
Counselor, Professional in Pampa, TX. Individual provider (NPI-1).
NPI number1144696147
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1144696147
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Gibson
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2015
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 70319 | TX | Yes |
Practice location
11966 County Road IPampa, TX 79065-1704
Phone 806-440-6328
Mailing address
11966 County Road IPampa, TX 79065-1704
Phone 806-669-9402
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