Individual
MR. CARLTON GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC
Contact information
Practice address
12021 WILMINGTON AVE STE 300, LOS ANGELES, CA 90059-3019
(323) 979-3009
Mailing address
12021 WILMINGTON AVE STE 300, LOS ANGELES, CA 90059-3019
(323) 979-3009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
10/31/2022
Last updated
04/12/2024
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