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General NPI Number Information
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NPI Number | 1437060795
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Entity Type | Individual
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Provider Name | SHARON GIBSON-MAINKA LPC, LCDC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 2114 FIELDS STORE RD
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City | WALLER
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State | TX
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Zip | 77484-8025
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Country | US
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Telephone | 936-931-2299
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Fax |
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Provider Business Mailing Address
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Address Line | 30560 HANER RD
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City | HOCKLEY
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State | TX
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Zip | 77447-6540
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 96427
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17429
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License Number State | TX
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