Gibson, Stacey L
Gibson, Stacey L is an sole proprietor health care provider with primary practice located at 1312 N 1St Ave , Durant OK 74701-2810. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gibson, Stacey L can be contacted via phone (580) 920-2069.Contact Information
Primary practice address
1312 N 1St Ave
Durant OK 74701-2810
Phone: (580) 920-2069
Fax: (580) 920-1010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 59165 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4047 | Oklahoma |
Profile Details
| NPI number | 1346448669 |
|---|---|
| LBN Legal business name | Gibson, Stacey L |
| Credentials | DBH MBS MS LPC S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2007 |
| Last updated | Oct 30th, 2023 - about 2 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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