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Individual

DAVID GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW, LCDC II

Contact information

Practice address
1867 W MARKET ST, AKRON, OH 44313-6901
(330) 812-3887
(330) 923-6436
Mailing address
1867 W MARKET ST, AKRON, OH 44313-6901
(330) 812-3887
(330) 923-6436

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
140801-PRE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2901131
OH
Enumeration date
03/23/2015
Last updated
03/30/2018
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