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1942951850 NPI number — KATHLEEN JOYCE GIBSON LCMHCA

NPI Number: 1942951850
Health Care Provider/Practitioner: KATHLEEN JOYCE GIBSON LCMHCA

Information about “1942951850” NPI (KATHLEEN JOYCE GIBSON LCMHCA) exists in 1942951850 in HTML format HTML  |  1942951850 in plain Text format TXT  |  1942951850 in PDF (Portable Document Format) PDF  |  1942951850 in an XML format XML  formats.

NPI Number : 1942951850 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942951850",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GIBSON",
    "FirstName": "KATHLEEN",
    "MiddleName": "JOYCE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCMHCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1655 CHADWICK SHORES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SNEADS FERRY",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28460-9281",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-850-6242",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1437 MILITARY CUTOFF RD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28403-3638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-240-3392",
    "PracticeLocationAddressFaxNumber": "910-447-4421",
    "EnumerationDate": "01/12/2022",
    "LastUpdateDate": "01/12/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "A17191",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "102L00000X",
          "TaxonomyName": "Psychoanalyst",
          "LicenseNumber": "A17191",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "A17191",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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