Individual provider · Type 1 NPI

Randall Lee Gibson

Addiction (Substance Use Disorder) Counselor · Hollywood, CA

NPI number 1922450600 Active

Practice location

6838 W Sunset Blvd
Hollywood, CA 90028-7008

Call (323) 461-3161 Map

Fax (323) 461-5683

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 1922450600

Randall Lee Gibson's National Provider Identifier is 1922450600, issued on Jul 6, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hollywood, CA. The record was last updated on Jul 6, 2016.