NPI Index

PERSEPHONE GIBSON

Counselor

Active Individual
NPI: 1861283293

Practice Address

1200 COLDWATER RD NW
Dewy Rose, GA 30634

Phone: (540) 305-9343

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes 0704017698 (VA)

Frequently Asked Questions

NPI 1861283293 is the National Provider Identifier for PERSEPHONE GIBSON, a Counselor provider located in Dewy Rose, GA. This NPI was enumerated on May 15, 2025.
PERSEPHONE GIBSON practices at 1200 COLDWATER RD NW, Dewy Rose, GA 30634.

Quick Facts

NPI
1861283293
Type
Individual
Enumerated
May 15, 2025
Last Updated
May 15, 2025

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