NPI 1063053080

Heather Gibson, LAC

Practitioner Mental Health Counselor Freehold, NJ

Practice location

Address: 3499 Rte 9 STE 2c, Freehold, NJ 07728-3277
Phone: (732) 982-2888
Fax: (847) 859-5885
Mailing address: 175 E Hawthorn Pkwy STE 235, Vernon Hills, IL 60061-1454

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 37AC00430500 (NJ)

Other Counselor providers in New Jersey →

Registry record

NPI: 1063053080
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2019
Record last updated: 1 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.