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SHAWN GIBSON, LAC, LMSW, LPC

LAC, LMSW, LPC

Addiction (Substance Use Disorder) Counselor

NPI: 1972241131Individual

Specialties, Licenses & Credentials

Counselor — Professional

Code: 101YP2500X

5820(TN)

Social Worker

Code: 104100000X

13690(TN)33010944A(IN)

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

86000400A(IN)

Contact & Hours

Address
3282 MALLARD COVE LN
FORT WAYNE, IN 46804

Quick Facts

NPI
1972241131
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
4
Locations
1

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