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Earl Gibson
Mental Health Counselor in San Juan Capistrano, California
NPI 1982840112

Earl Gibson is a Mental Health Counselor based in San Juan Capistrano, CA and is specialized in Mental Health. Earl Gibson practices in San Juan Capistrano, CA. The NPI Number for Earl Gibson is 1982840112 and holds a License No. 016854074 (California).

The current practice location address for Earl Gibson is 26421 Pepperwood Ln, San Juan Capistrano, CA and can be reached out via phone at 860-309-2092.

Location: 26421 Pepperwood Ln, San Juan Capistrano, CA, 92675-1133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982840112
Provider Name
Earl Gibson
Credential
Provider Entity Type
Individual
Gender
Male
Address
26421 Pepperwood Ln, San Juan Capistrano, CA, 92675-1133
Phone Number
860-309-2092
Fax Number
Provider Enumeration Date
12/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26421 Pepperwood Ln
City
San Juan Capistrano
State
California
Zip
92675-1133
Phone Number
860-309-2092
Fax Number
person
Provider Business Mailing Address Details
Address
26421 Pepperwood Ln
City
San Juan Capistrano
State
California
Zip
92675-1133
Phone Number
860-309-2092
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
016854074 (Connecticut)
Definition
Definition to come...
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