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General NPI Number Information
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NPI Number | 1285458117
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Entity Type | Organization
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Legal Business Name | SARAH GIBSON COUNSELING PLLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 100 N CENTRAL EXPY STE 532
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City | RICHARDSON
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State | TX
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Zip | 75080-5394
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Country | US
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Telephone | 972-850-6798
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Fax |
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Provider Business Mailing Address
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Address Line | 10707 PARK VILLAGE PL APT D
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City | DALLAS
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State | TX
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Zip | 75230-3904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH GIBSON
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Credential | LPC
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Telephone | 214-862-2490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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