Individual
JACQUELINE JUNE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
458 2ND AVE, GALLIPOLIS, OH 45631-1157
(740) 446-2085
(740) 446-2292
Mailing address
214 S 4TH ST, IRONTON, OH 45638-1610
(740) 532-3767
(740) 532-3385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
140838
OH
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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