Individual provider · Type 1 NPI

Jennifer Daine Gibbons

Addiction (Substance Use Disorder) Counselor · Hesperia, CA

NPI number 1770770810 Active

Practice location

11776 Mariposa Rd
Hesperia, CA 92345-1622

Call (760) 956-2462 Map

Mailing address

9675 Mignonette St
Alta Loma, CA 91701-5027

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 1770770810

Jennifer Daine Gibbons's National Provider Identifier is 1770770810, issued on Oct 3, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hesperia, CA. The record was last updated on Oct 7, 2014.