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NPI Code Detail

MEDICARE: DR. TONNESSA GIBSON LPC,NCC

MEDICARE: DR. TONNESSA GIBSON LPC,NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7312CT
2101YP2500XProfessional Counselor23795AZ
3101YP2500XProfessional Counselor4103LA
4101YP2500XProfessional CounselorCP53060-RNV
5101YP2500XProfessional Counselor65751TX

General Provider Information

NPI Number : 1821420399
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TONNESSA GIBSON LPC,NCC
Provider Business Mailing Address
First Line : 77 SUGAR CREEK CENTER BLVD STE 600
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3688
Country : US
Telephone Number : 999-999-9999
Fax Number :
Provider Business Practice Location Address
First Line : 77 SUGAR CREEK CENTER BLVD STE 600
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3688
Country : US
Telephone Number : 999-999-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2013
Last Update Date : 03/28/2026

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