Individual
MOARASHAD GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMA, CADC
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 750-6380
Mailing address
433 GUILFORD COLLEGE RD APT N, GREENSBORO, NC 27409-2298
(910) 217-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-28759
NC
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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