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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN GIBSON, LAC, LMSW, LPC

Active Sole Proprietor

SHAWN GIBSON, LAC, LMSW, LPC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FORT WAYNE, Indiana. NPI 1972241131 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · FORT WAYNE, IN

Registration Details

NPI Number
1972241131
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2022 (4.2525975113287 yrs)
Last Updated
Feb 22, 2023
Licenses
5820 (TN)
13690 (TN)
33010944A (IN)
86000400A (IN)
Sole Proprietor
Yes

Practice Information

Address
3282 MALLARD COVE LN
FORT WAYNE, IN, 468042883
Browse IN providers · Browse ZIP 46804
Phone
8125580574
Additional Specialty
Social Worker
Additional Specialty
Social Worker

Other Addiction (Substance Use Disorder) Counselor Providers in FORT WAYNE, IN

Name Credential NPI
MRS. MARY E SAILER 1841243870
MARGARET L. COATS LMHC 1134230907
BENNY LEE POWELL MDIV, LCAC 1215163316
DANIEL D SCHRECK PHD 1861741043
CATHERINE MARIE RUMSCHLAG LCAC, LMHC, MAC 1982035135
KIMBRA L. O'BRIEN LCAC 1801378575
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.