Individual
MR. JOHN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830
Mailing address
PO BOX 711, NEWTON, KS 67114-0711
(316) 283-6743
(316) 283-6830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
042
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106710 D
—
KS
Enumeration date
06/05/2014
Last updated
06/05/2014
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