Individual
WILLIAM GRANT GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC I
Contact information
Practice address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA.0007941
CO
Other
Enumeration date
11/01/2017
Last updated
11/02/2020
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