Justin George Gibson, | |
100 N 5th St, Hugo, OK 74743-4005 | |
(580) 775-9191 | |
Not Available |
Full Name | Justin George Gibson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 100 N 5th St, Hugo, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649734997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Lynch Family Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568722379 PECOS PAC ID: 0446584205 Enrollment ID: O20190627001776 |
Mailing Address | Practice Location Address |
---|---|
Justin George Gibson, Po Box 105, Bokchito, OK 74726-0105 Ph: (580) 775-9191 | Justin George Gibson, 100 N 5th St, Hugo, OK 74743-4005 Ph: (580) 775-9191 |
Ms. Roberta Lee Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 E Jackson St, Hugo, OK 74743 Phone: 580-326-2200 Fax: 580-326-2221 | |
Mrs. Patricia Irene Wallace, LPC,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 N 4th St, Hugo, OK 74743 Phone: 580-326-7531 Fax: 580-326-2377 | |
Mr. Don G. Loman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St, Hugo, OK 74743 Phone: 580-326-7477 Fax: 580-326-6400 | |
Jordan Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N 5th St, Hugo, OK 74743 Phone: 580-326-9475 Fax: 580-326-9028 | |
Elizabeth Pierce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 N 4240 Rd, Hugo, OK 74743 Phone: 580-372-7430 | |
Ms. Heather Sarese Dill, BA IN PSYCHOLOGY Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 E Jefferson St, Hugo, OK 74743 Phone: 580-326-7862 | |
Diana Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 1/2 W Jackson St, Hugo, OK 74743 Phone: 580-326-9475 |