Individual
JOHN GIPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CAC III
Contact information
Practice address
1501 YARMOUTH AVE, BOULDER, CO 80304-0564
(303) 359-2166
Mailing address
1501 YARMOUTH AVE, BOULDER, CO 80304-0564
(303) 359-2166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CO
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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