person
Ashaki Gibson III
Mental Health Counselor in Vicksburg, Mississippi
NPI 1649451840

Ashaki Gibson III is a Mental Health Counselor based in Vicksburg, MS and is specialized in Mental Health. Ashaki Gibson III practices in Vicksburg, MS. The NPI Number for Ashaki Gibson III is 1649451840 and holds a License No. (Mississippi).

The current practice location address for Ashaki Gibson III is 3444 Wisconsin Ave, Vicksburg, MS and can be reached out via phone at 601-638-0031 and via fax at 601-638-4950.

Location: 3444 Wisconsin Ave, Vicksburg, MS, 39180-5331
person
Provider Profile Details
NPI Number
1649451840
Provider Name
Ashaki Gibson III
Credential
Provider Entity Type
Individual
Gender
Female
Address
3444 Wisconsin Ave, Vicksburg, MS, 39180-5331
Phone Number
601-638-0031
Fax Number
601-638-4950
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3444 Wisconsin Ave
City
State
Zip
39180-5331
Phone Number
601-638-0031
Fax Number
601-638-4950
person
Provider Business Mailing Address Details
Address
3444 Wisconsin Ave
City
State
Zip
39180-5331
Phone Number
601-638-0031
Fax Number
601-638-4950
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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