IndividualActive
Susann Light-Gibson, MED, CSAC
NPI 1649315300 · Counselor · Big Stone Gap, VA
Susann Light-Gibson, MED, CSAC is a Counselor provider in Big Stone Gap, VA (NPI 1649315300).
Provider details
- NPI number
- 1649315300
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MED, CSAC
- Sex
- Female
- Sole proprietor
- No
- License
- 0710102161 (VA)
Practice location
3169 2nd Ave E
Big Stone Gap, VA 24219-3805
Phone: (276) 523-8300
Fax: (276) 523-6964
Street-level locationGet directions
Mailing address
Po Box 9054
Gray, TN 37615-9054
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.