Gibson, Randall Charles

Gibson, Randall Charles is an sole proprietor health care provider with primary practice located at 5710 Lbj Fwy Ste 210, Dallas TX 75240-6324. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gibson, Randall Charles can be contacted via phone (214) 929-4670.

Contact Information

Primary practice address
5710 Lbj Fwy Ste 210 Dallas TX 75240-6324
Phone: (214) 929-4670
Fax: (972) 934-8115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 14397 Texas

Profile Details

NPI number 1891788170
LBN Legal business name Gibson, Randall Charles
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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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