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Eric Keven Gibson, NO
Mental Health Counselor in Evans, Colorado
NPI 1114485257

Eric Keven Gibson is a Mental Health Counselor based in Evans, CO and is specialized in Mental Health. Eric Keven Gibson practices in Evans, CO and has the professional credentials of NO. The NPI Number for Eric Keven Gibson is 1114485257 and holds a License No. (Colorado).

The current practice location address for Eric Keven Gibson is 4301 Buffalo Trl, Evans, CO and can be reached out via phone at 310-877-0774.

Location: 4301 Buffalo Trl, Evans, CO, 80620-9454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114485257
Provider Name
Eric Keven Gibson
Credential
NO
Provider Entity Type
Individual
Gender
Male
Address
4301 Buffalo Trl, Evans, CO, 80620-9454
Phone Number
310-877-0774
Fax Number
Provider Enumeration Date
03/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2137347793 05 CO
institution
Provider Business Practice Location Address Details
Address
4301 Buffalo Trl
City
Evans
State
Colorado
Zip
80620-9454
Phone Number
310-877-0774
Fax Number
person
Provider Business Mailing Address Details
Address
4301 Buffalo Trl
City
Evans
State
Colorado
Zip
80620-9454
Phone Number
310-877-0774
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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