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Ms. Grace Crystal Gibson, CSAC
Addiction (Substance Use Disorder) Counselor in New York, New York
NPI 1841562865

Grace Crystal Gibson is an Addiction (Substance Use Disorder) Counselor based in New York, NY and is specialized in Addiction (Substance Use Disorder). Grace Crystal Gibson practices in New York, NY and has the professional credentials of CSAC. The NPI Number for Grace Crystal Gibson is 1841562865 and holds a License No. 26103 (New York).

The current practice location address for Grace Crystal Gibson is 311 W 35Th St, New York, NY and can be reached out via phone at 212-736-5900 and via fax at 212-967-0723.

Location: 311 W 35Th St, New York, NY, 10001-1701
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Provider Profile Details
NPI Number
1841562865
Provider Name
Grace Crystal Gibson
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
311 W 35Th St, New York, NY, 10001-1701
Phone Number
212-736-5900
Fax Number
212-967-0723
Provider Enumeration Date
02/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609805993 05 NY
institution
Provider Business Practice Location Address Details
Address
311 W 35Th St
City
State
Zip
10001-1701
Phone Number
212-736-5900
Fax Number
212-967-0723
person
Provider Business Mailing Address Details
Address
311 W 35Th St
City
State
Zip
10001-1701
Phone Number
212-736-5900
Fax Number
212-967-0723
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
26103 (New York)
Definition
Definition to come...
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