Individual provider · Type 1 NPI

Debra Jean Gibson, LSUDC

Addiction (Substance Use Disorder) Counselor · Slc, UT

NPI number 1922592997 Active

Practice location

5689 S Redwood Rd Unit 30
Slc, UT 84123-5499

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6926577-6006 (UT)

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

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About NPI 1922592997

Debra Jean Gibson, LSUDC's National Provider Identifier is 1922592997, issued on Jun 21, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Slc, UT. The record was last updated on Jun 21, 2018.