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Individual

NICHOLAS L GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
307 CLIFTY ST STE 101, SOMERSET, KY 42501-1666
(800) 805-6989
Mailing address
1102 TRAILS END, SOMERSET, KY 42503-6300

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
KY

Other

Enumeration date
10/14/2021
Last updated
10/14/2021
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