Individual provider · Type 1 NPI

Emily Elise Gibson, CADC I

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1710483722 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 687-1110 Map

Mailing address

PO Box 8549
Coburg, OR 97408-1313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18-02-07 (OR)

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

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About NPI 1710483722

Emily Elise Gibson, CADC I's National Provider Identifier is 1710483722, issued on Mar 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Mar 30, 2018.