Individual
FLORA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
Mailing address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
183119
OH
Other
Enumeration date
04/22/2022
Last updated
02/08/2023
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