Individual
MRS. CHARLES BROOKS GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV, LCAS
Contact information
Practice address
283 BILTMORE AVE, ASHEVILLE, NC 28801-4157
(828) 252-8748
(828) 252-9512
Mailing address
283 BILTMORE AVE, ASHEVILLE, NC 28801-4157
(828) 252-8748
(828) 252-9512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111863
—
NC
01
—
833
NCSAPPB/LICENSE
NC
Enumeration date
10/03/2006
Last updated
08/30/2007
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