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1699030858
JASON LEE GIBSON
MONTGOMERY, AL
NPI
1699030858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AL 2808)
Enumeration Date
2012-07-12
Last Update Date
2024-07-11
Business Address
MR. JASON LEE GIBSON LPC
1040 LONGFIELD CT
MONTGOMERY, AL 36117-8055
Phone number: 256-701-5651
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Mailing Address
MR. JASON LEE GIBSON LPC
600 SUN TEMPLE DR
MADISON, AL 35758-8643
Phone number: 256-975-4291
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