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Mr. Sidney Lanier Gibson JR., LMHC
Mental Health Counselor in Tampa, Florida
NPI 1619929536

Sidney Lanier Gibson JR. is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Sidney Lanier Gibson JR. practices in Tampa, FL and has the professional credentials of LMHC. The NPI Number for Sidney Lanier Gibson JR. is 1619929536 and holds a License No. MH0000122 (Florida).

The current practice location address for Sidney Lanier Gibson JR. is 4107 W Spruce St Ste 100, Tampa, FL and can be reached out via phone at 813-636-8811.

Location: 4107 W Spruce St Ste 100, Tampa, FL, 33607-2346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619929536
Provider Name
Sidney Lanier Gibson JR.
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
4107 W Spruce St Ste 100, Tampa, FL, 33607-2346
Phone Number
813-636-8811
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007368100 05 FL
institution
Provider Business Practice Location Address Details
Address
4107 W Spruce St Ste 100
City
Tampa
State
Florida
Zip
33607-2346
Phone Number
813-636-8811
Fax Number
person
Provider Business Mailing Address Details
Address
4107 W Spruce St Ste 100
City
Tampa
State
Florida
Zip
33607-2346
Phone Number
813-636-8811
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH0000122 (Florida)
Definition
Definition to come...
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