Individual
JAMES M GIBSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSED LPC CEAP CSAC
Contact information
Practice address
106D RIDGEVIEW DR, CARY, NC 27511
(919) 467-9995
(919) 467-8653
Mailing address
106D RIDGEVIEW DR, CARY, NC 27511
(919) 467-9995
(919) 467-8653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11814
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
911
NC
101YM0800X
Mental Health Counselor
861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102491
—
NC
Enumeration date
01/31/2006
Last updated
09/11/2025
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