Individual provider · Type 1 NPI
Beverly M. Gibson, LCADC, CSW
Counselor · Ewing, NJ
NPI number
1245543453
Active
Practice location
68 Dunmore Avneue
Ewing, NJ 08618
Fax (608) 671-1500
Mailing address
68 Dunmore Ave
Ewing, NJ 08618-1974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 44SW00330700 (NJ) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00032400 (NJ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1245543453
Beverly M. Gibson, LCADC, CSW's National Provider Identifier is 1245543453, issued on Jul 16, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ewing, NJ. The record was last updated on Jul 16, 2010.