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NPI Code Detail

MEDICARE: KARLIE GIBSON RN, LMHCA

MEDICARE: KARLIE GIBSON RN, LMHCA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1740829928
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLIE GIBSON RN, LMHCA
Provider Business Mailing Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-7263
Country : US
Telephone Number : 602-909-5313
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-7263
Country : US
Telephone Number : 602-909-5313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2020
Last Update Date : 07/08/2025

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