EMILY ELISE GIBSON

COBURG, OR
NPI1710483722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  18-02-07)
Enumeration Date2018-03-30
Last Update Date2018-03-30
Business Address
EMILY ELISE GIBSON CADC I
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
Mailing Address
EMILY ELISE GIBSON CADC I
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-687-1110
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