| Doctor Name: | MRS. RACHEL M. GIBSON |
| NPI Number: | 1275728941 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 61947 |
| Business Practice Address: | 1107 Noblewood Dr Glenn Heights, TX - 751548769 |
| Business Phone Number: | 9729981643 |
| Business Fax Number: | 9722742526 |
| Mailing Address: | 445 E Fm 1382 Ste 3-184, CEDAR HILL |
| State: | TX |
| Postal Code: | 751046047 |
| Phone Number: | 9729981643 |
| Fax Number: | 9722742526 |
| NPI Enumeration Date: | 09/06/2007 |
| NPI Last Update Date: | 09/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 61947 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |