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Scott Gibson SR.
Mental Health Counselor in Evansville, Indiana
NPI 1811931850

Scott Gibson SR. is a Mental Health Counselor based in Evansville, IN and is specialized in Mental Health. Scott Gibson SR. practices in Evansville, IN. The NPI Number for Scott Gibson SR. is 1811931850 and holds a License No. 39000754A (Indiana).

The current practice location address for Scott Gibson SR. is 2015 Maxwell Ave, Evansville, IN and can be reached out via phone at 812-422-7974 and via fax at 812-671-0627.

Location: 2015 Maxwell Ave, Evansville, IN, 47711-4359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811931850
Provider Name
Scott Gibson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2015 Maxwell Ave, Evansville, IN, 47711-4359
Phone Number
812-422-7974
Fax Number
812-671-0627
Provider Enumeration Date
06/16/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000353772 01 IN ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
2015 Maxwell Ave
City
Evansville
State
Indiana
Zip
47711-4359
Phone Number
812-422-7974
Fax Number
812-671-0627
person
Provider Business Mailing Address Details
Address
2015 Maxwell Ave
City
Evansville
State
Indiana
Zip
47711-4359
Phone Number
812-422-7974
Fax Number
812-671-0627
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39000754A (Indiana)
Definition
Definition to come...
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