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Mrs. Annette Gibson, CDCA
Peer Specialist in Cleveland, Ohio
NPI 1619513470

Annette Gibson is a Peer Specialist based in Cleveland Hts, OH. Annette Gibson practices in Cleveland, OH and has the professional credentials of CDCA. The NPI Number for Annette Gibson is 1619513470 and holds a License No. CDCA.171746 (Ohio).

The current practice location address for Annette Gibson is 16001 Holmes Ave, Cleveland, OH and can be reached out via phone at 216-352-0200.

Location: 16001 Holmes Ave, Cleveland, OH, 44118-1352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619513470
Provider Name
Annette Gibson
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
16001 Holmes Ave, Cleveland, OH, 44118-1352
Phone Number
216-352-0200
Fax Number
Provider Enumeration Date
11/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16001 Holmes Ave
City
Cleveland
State
Ohio
Zip
44110-2460
Phone Number
216-352-0200
Fax Number
person
Provider Business Mailing Address Details
Address
16001 Holmes Ave
City
Cleveland
State
Ohio
Zip
44110-2460
Phone Number
216-352-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CDCA.171746 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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