Individual
HEIDI MARIA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW ICADC
Contact information
Practice address
3475 N SARATOGA ST, OAK HARBOR, WA 98278-4927
(360) 257-9484
Mailing address
2892 SUNLIGHT DR, CLINTON, WA 98236-9005
(360) 929-9486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC 1142006
ID
1041C0700X
Clinical Social Worker
Primary
LW 60117775
WA
Other
Enumeration date
09/15/2009
Last updated
04/30/2013
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