Individual
STEVEN JAMES GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RECOVERY COACH
Contact information
Practice address
85 QUINCY AVE STE B, QUINCY, MA 02169-6764
(857) 939-1363
Mailing address
85 QUINCY AVE STE B, QUINCY, MA 02169-6764
(857) 939-1363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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