Mrs Susann Renee Light-gibson, MED, CSAC | |
3169 2nd Ave E, Big Stone Gap, VA 24219-3805 | |
(276) 523-8300 | |
(276) 523-6964 |
Full Name | Mrs Susann Renee Light-gibson |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 3169 2nd Ave E, Big Stone Gap, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649315300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 0710102161 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Susann Renee Light-gibson, MED, CSAC Po Box 9054, Gray, TN 37615-9054 Ph: (423) 467-3600 | Mrs Susann Renee Light-gibson, MED, CSAC 3169 2nd Ave E, Big Stone Gap, VA 24219-3805 Ph: (276) 523-8300 |
Mr. Mark Harrison Wade, LPC CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 276-523-6964 | |
Mr. James Dale Kegley, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Avenue East, Big Stone Gap, VA 24219 Phone: 276-523-8315 Fax: 276-523-6964 | |
Whitney B Trinkle, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Champions Ave, Big Stone Gap, VA 24219 Phone: 276-523-8300 | |
Mrs. Deborah Lynn Skorupa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 622 Powell Ave, Developmental Services, Big Stone Gap, VA 24219 Phone: 276-523-0682 Fax: 276-523-0684 | |
Sharon Short Shaver, BA Counselor Medicare: Medicare Enrolled Practice Location: 622 Powell Ave E, Big Stone Gap, VA 24219 Phone: 276-523-0682 Fax: 423-467-3644 | |
Claressa Rema Young, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2532 4th Avenue East, Big Stone Gap, VA 24219 Phone: 276-523-4357 Fax: 276-523-2527 | |
Michael Sean Halcomb, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 423-467-3644 |