Provider Demographics
NPI:1760743652
Name:GILBO, PATSY (MS, PLPC)
Entity type:Individual
Prefix:
First Name:PATSY
Middle Name:
Last Name:GILBO
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1286 MATTHEWS LN
Mailing Address - Street 2:
Mailing Address - City:PARK HILLS
Mailing Address - State:MO
Mailing Address - Zip Code:63601-7207
Mailing Address - Country:US
Mailing Address - Phone:573-562-7751
Mailing Address - Fax:573-562-7843
Practice Address - Street 1:1286 MATTHEWS LN
Practice Address - Street 2:
Practice Address - City:PARK HILLS
Practice Address - State:MO
Practice Address - Zip Code:63601-7207
Practice Address - Country:US
Practice Address - Phone:573-562-7751
Practice Address - Fax:573-562-7843
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015043726101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health