Gibson, Mary Puckett
Gibson, Mary Puckett is an individual health care provider with primary practice located at 223 Scenic Hwy Suite 100, Lawrenceville GA 30045-5603. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gibson, Mary Puckett can be contacted via phone (770) 995-1846.Contact Information
Primary practice address
223 Scenic Hwy Suite 100
Lawrenceville GA 30045-5603
Phone: (770) 995-1846
Fax: (770) 995-6614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC003992 | Georgia |
Profile Details
| NPI number | 1205825437 |
|---|---|
| LBN Legal business name | Gibson, Mary Puckett |
| Credentials | M.S., NCC, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 23rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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