Individual
HEATHER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 PETERSON RD, BURLINGTON, WA 98233-2606
(360) 757-0131
Mailing address
614 PETERSON RD, BURLINGTON, WA 98233-2606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60741569
WA
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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