Individual
JAMES GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3775 MARTIN WAY E # B, OLYMPIA, WA 98506-5007
(360) 704-7170
Mailing address
3775 MARTIN WAY E # B, OLYMPIA, WA 98506-5007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60744848
WA
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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