Individual provider · Type 1 NPI

Grace Crystal Gibson, C S A C

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1841562865 Active

Practice location

311 W 35th St
New York, NY 10001-1701

Fax (212) 967-0723

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26103 (NY)

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

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About NPI 1841562865

Grace Crystal Gibson, C S A C's National Provider Identifier is 1841562865, issued on Feb 7, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Feb 7, 2012.