| Jerry Dean Gison | |
|
125 Brookdale Dr Ste 125 Morgantown WV 26508-8799 | |
| (304) 241-1108 | |
| Not Available |
| Full Name | Jerry Dean Gison |
|---|---|
| Speciality | Counselor - Professional |
| Location | 125 Brookdale Dr Ste 125, Morgantown, West Virginia |
| Authorized Official Name and Position | Jerry Gibson (OWNER) |
| Authorized Official Contact | 2766988722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Dean Gison 125 Brookdale Dr Ste 125 Morgantown WV 26508-8799 Ph: (304) 241-1108 | Jerry Dean Gison 125 Brookdale Dr Ste 125 Morgantown WV 26508-8799 Ph: (304) 241-1108 |
| NPI Number | 1215435029 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 01/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215435029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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