Individual provider · Type 1 NPI

Annie Gibson, CCDC

Addiction (Substance Use Disorder) Counselor · Sylmar, CA

NPI number 1164610093 Active

Practice location

13741 Foothill Blvd, Suite 240
Sylmar, CA 91342-3133

Call (818) 833-9789 Map

Fax (818) 833-9790

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X104206 (CA)

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

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About NPI 1164610093

Annie Gibson, CCDC's National Provider Identifier is 1164610093, issued on Oct 4, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sylmar, CA. The record was last updated on Oct 4, 2007.