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Individual

JAMES EDWARD GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
210 KEN PRATT BLVD STE 140, LONGMONT, CO 80501-8655
(303) 834-9369
Mailing address
210 KEN PRATT BLVD STE 140, LONGMONT, CO 80501-8655
(720) 727-4012

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008568
CO
101YM0800X
Mental Health Counselor
ACD.0002680
CO

Other

Enumeration date
04/22/2020
Last updated
06/08/2026
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