JAMES EDWARD GIBSON

LONGMONT, CO
NPI1790305431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB.0008568)
Enumeration Date2020-04-22
Last Update Date2020-04-22
Business Address
JAMES EDWARD GIBSON CAC II
420 21ST AVE STE 113
LONGMONT, CO 80501-1441
Phone number: 303-834-9369
Mailing Address
JAMES EDWARD GIBSON CAC II
420 21ST AVE
LONGMONT, CO 80501-1441
Phone number: 033-834-9369