Individual provider · Type 1 NPI
Eric Keven Gibson, NO
Mental Health Counselor · Evans, CO
NPI number
1114485257
Active
Practice location
4301 Buffalo Trl
Evans, CO 80620-9454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1114485257
Eric Keven Gibson, NO's National Provider Identifier is 1114485257, issued on Mar 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Evans, CO. The record was last updated on Mar 7, 2019.