Individual
TASHINA RAE GIBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
1 SERENITY LANE, 91150 COBURG INDUSTRIAL WAY, COBURG, OR 97408
(541) 525-2302
Mailing address
136 W OLYMPIC ST, SPRINGFIELD, OR 97477-2922
(541) 525-2302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3859
OR
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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