Charlotte Gibbons, LCSW
Counselor in Montezuma Creek, UT. Individual provider (NPI-1).
NPI number1699005751
StatusActive
Last updated in NPPESJan 12, 2010
Details
- NPI
- 1699005751
- Entity type
- Individual (NPI-1)
- Name
- Charlotte Gibbons
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2010
- Last updated
- Jan 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 138698-3501 | – | Yes |
Practice location
East Highway 262Montezuma Creek, UT 84534
Phone 435-651-3291 · Fax 435-651-3376
Mailing address
Po Box 130Montezuma Creek, UT 84534
Phone 435-651-3291 · Fax 435-651-3376
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