Individual provider · Type 1 NPI

Demond Lamont Gibson Jr.

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1093414039 Active

Practice location

515 E 6th St
Los Angeles, CA 90021-1009

Call (213) 251-7612 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14783 (CA)

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

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About NPI 1093414039

Demond Lamont Gibson Jr.'s National Provider Identifier is 1093414039, issued on Feb 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 28, 2023.