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Mrs. Susann Renee Light-gibson, MED,CSAC
Counselor in Big Stone Gap, Virginia
NPI 1649315300

Susann Renee Light-gibson is a Counselor based in Gray, VA. Susann Renee Light-gibson practices in Big Stone Gap, VA and has the professional credentials of MED,CSAC. The NPI Number for Susann Renee Light-gibson is 1649315300 and holds a License No. 0710102161 (Virginia).

The current practice location address for Susann Renee Light-gibson is 3169 2Nd Ave E, Big Stone Gap, VA and can be reached out via phone at 276-523-8300 and via fax at 276-523-6964.

Location: 3169 2Nd Ave E, Big Stone Gap, VA, 37615-9054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649315300
Provider Name
Susann Renee Light-gibson
Credential
MED,CSAC
Provider Entity Type
Individual
Gender
Female
Address
3169 2Nd Ave E, Big Stone Gap, VA, 37615-9054
Phone Number
276-523-8300
Fax Number
276-523-6964
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3169 2Nd Ave E
City
Big Stone Gap
State
Virginia
Zip
24219-3805
Phone Number
276-523-8300
Fax Number
276-523-6964
person
Provider Business Mailing Address Details
Address
3169 2Nd Ave E
City
Big Stone Gap
State
Virginia
Zip
24219-3805
Phone Number
276-523-8300
Fax Number
276-523-6964
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0710102161 (Virginia)
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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