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Shawn Gibson, LAC,LMSW,LPC
Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana
NPI 1972241131

Shawn Gibson is an Addiction (Substance Use Disorder) Counselor based in Fort Wayne, IN and is specialized in Addiction (Substance Use Disorder). Shawn Gibson practices in Fort Wayne, IN and has the professional credentials of LAC,LMSW,LPC. The NPI Number for Shawn Gibson is 1972241131 and holds a License No. 5820 (Indiana).

The current practice location address for Shawn Gibson is 3282 Mallard Cove Ln, Fort Wayne, IN and can be reached out via phone at 812-558-0574.

Location: 3282 Mallard Cove Ln, Fort Wayne, IN, 46804-2883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972241131
Provider Name
Shawn Gibson
Credential
LAC,LMSW,LPC
Provider Entity Type
Individual
Gender
Male
Address
3282 Mallard Cove Ln, Fort Wayne, IN, 46804-2883
Phone Number
812-558-0574
Fax Number
Provider Enumeration Date
05/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3282 Mallard Cove Ln
City
Fort Wayne
State
Indiana
Zip
46804-2883
Phone Number
812-558-0574
Fax Number
person
Provider Business Mailing Address Details
Address
3282 Mallard Cove Ln
City
Fort Wayne
State
Indiana
Zip
46804-2883
Phone Number
812-558-0574
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
33010944A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
13690 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
5820 (Tennessee)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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