Individual provider · Type 1 NPI

Carlton Gibbs, SUDRC

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

NPI number 1386351302 Active

Practice location

12021 Wilmington Ave Ste 300
Los Angeles, CA 90059-3019

Call (323) 979-3009 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1386351302

Carlton Gibbs, SUDRC's National Provider Identifier is 1386351302, issued on Oct 31, 2022. 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 Apr 12, 2024.