Individual provider · Type 1 NPI
Gardiner J. Gibson, BA, CADAC
Addiction (Substance Use Disorder) Counselor · Jamaica Plain, MA
NPI number
1669782801
Active
Practice location
170 Morton St
Jamaica Plain, MA 02130-3735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669782801
Gardiner J. Gibson, BA, CADAC's National Provider Identifier is 1669782801, issued on Oct 20, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica Plain, MA. The record was last updated on Oct 20, 2010.