person
Mr. James Leonce Gibson III, SUDRC
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1841908183

James Leonce Gibson III is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). James Leonce Gibson III practices in Stockton, CA and has the professional credentials of SUDRC. The NPI Number for James Leonce Gibson III is 1841908183 and holds a License No. 39007BN (California).

The current practice location address for James Leonce Gibson III is 1981 Cherokee Rd, Stockton, CA and can be reached out via phone at 209-870-6500.

Location: 1981 Cherokee Rd, Stockton, CA, 95205-2720
person
Provider Profile Details
NPI Number
1841908183
Provider Name
James Leonce Gibson III
Credential
SUDRC
Provider Entity Type
Individual
Gender
Male
Address
1981 Cherokee Rd, Stockton, CA, 95205-2720
Phone Number
209-870-6500
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1981 Cherokee Rd
City
State
Zip
95205-2720
Phone Number
209-870-6500
Fax Number
person
Provider Business Mailing Address Details
Address
1981 Cherokee Rd
City
State
Zip
95205-2720
Phone Number
209-870-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
39007BN (California)
Definition
Definition to come...
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