Individual provider · Type 1 NPI

Kendall Maree Gibson, MA

Addiction (Substance Use Disorder) Counselor · Orangeburg, SC

NPI number 1700410149 Active

Practice location

910 Cook Rd
Orangeburg, SC 29118-2124

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 1700410149

Kendall Maree Gibson, MA's National Provider Identifier is 1700410149, issued on Feb 25, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Orangeburg, SC. The record was last updated on Feb 25, 2020.