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Ms. Beverly M Gibson, LCADC,CSW
Addiction (Substance Use Disorder) Counselor in Ewing, New Jersey
NPI 1245543453

Beverly M Gibson is an Addiction (Substance Use Disorder) Counselor based in Ewing, NJ and is specialized in Addiction (Substance Use Disorder). Beverly M Gibson practices in Ewing, NJ and has the professional credentials of LCADC,CSW. The NPI Number for Beverly M Gibson is 1245543453 and holds a License No. 44SW00330700 (New Jersey).

The current practice location address for Beverly M Gibson is 68 Dunmore Avneue, Ewing, NJ and can be reached out via phone at 609-577-9714 and via fax at 608-671-1500.

Location: 68 Dunmore Avneue, Ewing, NJ, 08618-1974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245543453
Provider Name
Beverly M Gibson
Credential
LCADC,CSW
Provider Entity Type
Individual
Gender
Female
Address
68 Dunmore Avneue, Ewing, NJ, 08618-1974
Phone Number
609-577-9714
Fax Number
608-671-1500
Provider Enumeration Date
07/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44SW00330700 01 NJ CSW
37LC00032400 01 NJ LCADC, CSW
institution
Provider Business Practice Location Address Details
Address
68 Dunmore Avneue
City
Ewing
State
New Jersey
Zip
08618
Phone Number
609-577-9714
Fax Number
608-671-1500
person
Provider Business Mailing Address Details
Address
68 Dunmore Avneue
City
Ewing
State
New Jersey
Zip
08618
Phone Number
609-577-9714
Fax Number
608-671-1500
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
37LC00032400 (New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
44SW00330700 (New Jersey)
Definition
Definition to come...
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