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Individual
GARY ALAN GIBSON
Active
Individual
GARY ALAN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.A.S.I.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAS REG 1157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1157
CAS REG
CA
01
—
RI-G1307080806
RAS BREINING INSTITUTE
CA
Enumeration date
12/07/2007
Last updated
09/04/2013
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