Individual provider · Type 1 NPI

Joshua Jibben, LCDC-I

Addiction (Substance Use Disorder) Counselor · San Angelo, TX

NPI number 1013584259 Active

Practice location

3553 W Houston Harte Expy
San Angelo, TX 76901-2664

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X47072 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013584259

Joshua Jibben, LCDC-I's National Provider Identifier is 1013584259, issued on Jun 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Angelo, TX. The record was last updated on Jun 7, 2021.