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Mary L Gibson, MA
Counselor in Colton, California
NPI 1396955621

Mary L Gibson is a Counselor based in San Bernardino, CA. Mary L Gibson practices in Colton, CA and has the professional credentials of MA. The NPI Number for Mary L Gibson is 1396955621 and holds a License No. (California).

The current practice location address for Mary L Gibson is 2275 E Cooley Dr, Colton, CA and can be reached out via phone at 909-370-1777 and via fax at 909-370-1776.

Location: 2275 E Cooley Dr, Colton, CA, 92407-4917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396955621
Provider Name
Mary L Gibson
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
2275 E Cooley Dr, Colton, CA, 92407-4917
Phone Number
909-370-1777
Fax Number
909-370-1776
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5709 01 CA SIMON STAFF NUMBER
institution
Provider Business Practice Location Address Details
Address
2275 E Cooley Dr
City
Colton
State
California
Zip
92324-6324
Phone Number
909-370-1777
Fax Number
909-370-1776
person
Provider Business Mailing Address Details
Address
2275 E Cooley Dr
City
Colton
State
California
Zip
92324-6324
Phone Number
909-370-1777
Fax Number
909-370-1776
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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