person
Mr. Derrick Courtney Gibson, MSLPC
Professional Counselor in Barboursville, West Virginia
NPI 1679753842

Derrick Courtney Gibson is a Professional Counselor based in Scott Depot, WV and is specialized in Professional. Derrick Courtney Gibson practices in Barboursville, WV and has the professional credentials of MSLPC. The NPI Number for Derrick Courtney Gibson is 1679753842 and holds a License No. 1618 (West Virginia).

The current practice location address for Derrick Courtney Gibson is 2 Chateau Ln, Barboursville, WV and can be reached out via phone at 304-736-9662 and via fax at 304-733-0079. You can also correspond with Derrick Courtney Gibson through the mailing address at 97 GREAT TEAYS BLVD, SCOTT DEPOT, WV - 25560-9815 (mailing address contact number: 304-757-6999).

Location: 2 Chateau Ln, Barboursville, WV, 25560-9815
person
Provider Profile Details
NPI Number
1679753842
Provider Name
Derrick Courtney Gibson
Credential
MSLPC
Provider Entity Type
Individual
Gender
Male
Address
2 Chateau Ln, Barboursville, WV, 25560-9815
Phone Number
304-736-9662
Fax Number
304-733-0079
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1618 01 WV STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2 Chateau Ln
City
State
Zip
25504-1626
Phone Number
304-736-9662
Fax Number
304-733-0079
person
Provider Business Mailing Address Details
Address
2 Chateau Ln
City
State
Zip
25504-1626
Phone Number
304-736-9662
Fax Number
304-733-0079
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1618 (West Virginia)
Definition
Definition to come...
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