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Contact Information

GAYLA R GIBSON, MA, LPC
11042 MANCHESTER RD
KIRKWOOD, MO63122-6312
 Phone: 314-385-9550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Health Educator

174H00000X
 

Mental Health

101YM0800X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for GAYLA R GIBSON · (Female)

NPI Number 1780983338
Status Active
Credentials MA, LPC
Entity Individual
Enumeration date 03/22/2011
Last updated 11/27/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 178.014685
  • MO License # 2009035067
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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