Brandi Gibson, M.ED., LCMHC, NCC

Individual provider Active NPI Mental Health Counselor · Zebulon, NC

NPI 1982172391 · NPPES record last updated Nov 22, 2021

Key facts

NPI
1982172391
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
14408 (NC)
Practice address
4005 Quarry Rd
Zebulon, NC 27597-8788
Phone
(919) 971-4064
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
14408NCMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14408 NC Yes

Addresses

Primary practice location

4005 Quarry Rd
Zebulon, NC 27597-8788

Mailing address

4005 Quarry Rd
Zebulon, NC 27597-8788
Phone (919) 971-4064

Other providers in Zebulon, NC

All providers in Zebulon, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.