Individual provider · Type 1 NPI

Dwayne Lee Gibson Jr., MSW, CDCA

Addiction (Substance Use Disorder) Counselor · Toledo, OH

NPI number 1700180262 Active

Practice location

5416 Glenridge Dr
Toledo, OH 43614-1608

Call (419) 705-2169 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X090176 (OH)

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

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About NPI 1700180262

Dwayne Lee Gibson Jr., MSW, CDCA's National Provider Identifier is 1700180262, issued on Dec 27, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Dec 27, 2010.