JONATHAN GIBBS

SHAWNEE, OK
NPI1255888426
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-06
Last Update Date2016-09-06
Business Address
-- JONATHAN GIBBS
1127 N KICKAPOO AVE
SHAWNEE, OK 74801-4845
Phone number: 405-214-0116
Mailing Address
-- JONATHAN GIBBS
1310 N BEARD AVE
SHAWNEE, OK 74801-4910
Phone number: 405-214-0116