Gibson, Connie

Gibson, Connie is an individual health care provider with primary practice located at 121 Jackson St , Newnan GA 30263-1572. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gibson, Connie can be contacted via phone (770) 251-5873.

Contact Information

Primary practice address
121 Jackson St Newnan GA 30263-1572
Phone: (770) 251-5873
Fax: (770) 304-2201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1876 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006647 Georgia

Profile Details

NPI number 1144650425
LBN Legal business name Gibson, Connie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2013
Last updated Nov 22nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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