Individual
BRYSON GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 QUADE DR, CARY, NC 27513-7400
(919) 654-8349
Mailing address
1927 ST MARYS RD, HILLSBOROUGH, NC 27278-8428
(615) 428-6314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22925
NC
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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