person
Mary L Gibson, MS
Counselor in Green Bay, Wisconsin
NPI 1205044112

Mary L Gibson is a Counselor based in Green Bay, WI. Mary L Gibson practices in Green Bay, WI and has the professional credentials of MS. The NPI Number for Mary L Gibson is 1205044112 and holds a License No. 1196-125 (Wisconsin).

The current practice location address for Mary L Gibson is 301 E Saint Joseph St, Green Bay, WI and can be reached out via phone at 920-430-3630. You can also correspond with Mary L Gibson through the mailing address at 301 E SAINT JOSEPH ST, GREEN BAY, WI - 54301-2241 (mailing address contact number: 920-430-3630).

Location: 301 E Saint Joseph St, Green Bay, WI, 54301-2241
person
Provider Profile Details
NPI Number
1205044112
Provider Name
Mary L Gibson
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
301 E Saint Joseph St, Green Bay, WI, 54301-2241
Phone Number
920-430-3630
Fax Number
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1196-125 01 WI LICENSE NUMBER
43561600 05 WI
institution
Provider Business Practice Location Address Details
Address
301 E Saint Joseph St
City
State
Zip
54301-2241
Phone Number
920-430-3630
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Saint Joseph St
City
State
Zip
54301-2241
Phone Number
920-430-3630
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
1196-125 (Wisconsin)
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 supervision for licensure or certification.
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