Individual
GERALD TIBBITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 H ST, GREELEY, CO 80631-9115
(970) 313-1091
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-2226
(970) 313-1091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0016076
CO
Other
Enumeration date
03/20/2014
Last updated
02/20/2020
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