David Gibson, LICSW

NPI 1134133374 · on the registry since 2006 · sole proprietor

Practice

Address: 821 Raymond Ave Ste 200
Saint Paul, MN 55114
Phone: (651) 216-8899
Organisation at this address: Revive Md Pllc
Terra Sorg Llc
Julia Moen, Llc
Jenny Decker Llc
Nicholas Flier Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota