Mary L Gibson is a Counselor in Green Bay, Wisconsin. Mary L Gibson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Mary L Gibson is 1205044112. The last update date is 2007-07-09.
Mary L Gibson's current location address is 301 E Saint Joseph St, Green Bay, Wisconsin. You can contact this provider via phone number 9204303630. The mailing address for Mary L Gibson is 301 E Saint Joseph St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary L Gibson |
|---|---|
| Address | 301 E Saint Joseph St, Green Bay, Wisconsin |
| Phone Number | 9204303630 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1205044112 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 301 E Saint Joseph St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012241 |
| Phone Number | 9204303630 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1196-125 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1196-125 | WI | LICENSE NUMBER | |
| 43561600 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary L Gibson by the Centers for Medicare & Medicaid Services?
The Mary L Gibson has been assigned the NPI (National Provider Identifier) 1205044112. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary L Gibson is located?
The Mary L Gibson is situated at the following address: 301 E Saint Joseph St, Green Bay, WI, 543012241.
What is Mary L Gibson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary L Gibson's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
When did the Mary L Gibson receive its 1205044112?
The Mary L Gibson was issued its 1205044112 on 2007-05-21, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Mary L Gibson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary L Gibson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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