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Individual

JOSHUA WADE GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1456 N GATEWAY AVE, ROCKWOOD, TN 37854-4110
(865) 378-6929
Mailing address
1456 N GATEWAY AVE, ROCKWOOD, TN 37854-4110

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1682
TN

Other

Enumeration date
11/06/2024
Last updated
11/06/2024
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