Search › West Virginia › 101YP2500X
Justin Gibson, MA. LPC
NPI 1588817415 · on the registry since 2008
Practice
- Address
- 3738 Teays Valley Rd Ste B
Hurricane, WV 25526 - Phone
- (304) 525-7851
- Fax
- (304) 525-1073
- Organisation at this address
- Custom Script Pharmacy
Custom Script Infusion Vital Care Llc
Custom Script Infusion Vital Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 511 Morris St, Charleston, WV
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-18
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 West Virginia