person
Gary Alan Gibson, RASI
Addiction (Substance Use Disorder) Counselor in Atascadero, California
NPI 1699958017

Gary Alan Gibson is an Addiction (Substance Use Disorder) Counselor based in San Luis Obispo, CA and is specialized in Addiction (Substance Use Disorder). Gary Alan Gibson practices in Atascadero, CA and has the professional credentials of RASI. The NPI Number for Gary Alan Gibson is 1699958017 and holds a License No. CAS REG 1157 (California).

The current practice location address for Gary Alan Gibson is 3556 El Camino Real, Atascadero, CA and can be reached out via phone at 805-461-6040 and via fax at 805-461-6114.

Location: 3556 El Camino Real, Atascadero, CA, 93401-4513
person
Provider Profile Details
NPI Number
1699958017
Provider Name
Gary Alan Gibson
Credential
RASI
Provider Entity Type
Individual
Gender
Male
Address
3556 El Camino Real, Atascadero, CA, 93401-4513
Phone Number
805-461-6040
Fax Number
805-461-6114
Provider Enumeration Date
12/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RI-G1307080806 01 CA RAS BREINING INSTITUTE
1157 01 CA CAS REG
institution
Provider Business Practice Location Address Details
Address
3556 El Camino Real
City
State
Zip
93422-2532
Phone Number
805-461-6040
Fax Number
805-461-6114
person
Provider Business Mailing Address Details
Address
3556 El Camino Real
City
State
Zip
93422-2532
Phone Number
805-461-6040
Fax Number
805-461-6114
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAS REG 1157 (California)
Definition
Definition to come...
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