HEATHER GIBSON LAC NPI 1063053080

NPI Information

NPI: 1063053080
Provider Name: HEATHER GIBSON, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3499 RTE 9 STE 2C
FREEHOLD, NJ
ZIP 07728
Phone: (732) 982-2888
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Heather Gibson, LAC is a mental health counselor in Freehold, NJ. Heather Gibson, LAC NPI is 1063053080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3499 RTE 9 STE 2C
FREEHOLD, NJ
ZIP 07728-277
Phone: (732) 982-2888
Fax: (847) 859-5885

The enumeration date for this NPI number is 10/1/2019 and was last updated on 10/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	37AC00430500	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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