Individual
MR. JADE D. GIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7177 W. KENTUCKY DR., APT. E, LAKEWOOD, CO 80226-4449
(303) 716-2566
Mailing address
7177 W. KENTUCKY DR., APT. E, LAKEWOOD, CO 80226-4449
(303) 716-2566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12796
TX
101YM0800X
Mental Health Counselor
Primary
4040
CO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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