Most Relevant Information
Provider Data
| NPI Number: | 1003429564 |
| Provider Name: | LUCIE GIBSON LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 012484 |
Most Important Dates
| Enumeration Date: | 08/25/2020 |
| Last Updated: | 03/26/2024 |
Provider Practice Location
779 ROUTE 9W S
NYACK
NY
109605020
Practice Location Phone/Fax
| Phone: | 9293200935 |
| Fax: |
Provider Mailing Location
779 ROUTE 9W S
NYACK
NY
109605020
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |