ROBERT GIBSON

PRESCOTT VALLEY, AZ
NPI1336686476
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  lisac1042)
Enumeration Date2017-01-27
Last Update Date2017-01-27
Business Address
-- ROBERT GIBSON
8200 E JACQUE DR
PRESCOTT VALLEY, AZ 86314-6172
Phone number: 928-442-9205
Mailing Address
-- ROBERT GIBSON
337 ROBINSON DR. UNIT #15
PRESCOTT, AZ 86303
Phone number: 928-910-6864
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