Individual
MS. DEBRA N GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC, MHS
Contact information
Practice address
2810 MORRIS AVE STE 209, UNION, NJ 07083-4841
(908) 349-8760
(908) 349-8092
Mailing address
2810 MORRIS AVE STE 209, UNION, NJ 07083-4841
(908) 349-8760
(908) 349-8092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00154800
NJ
101YM0800X
Mental Health Counselor
S-4343
NJ
1041C0700X
Clinical Social Worker
Primary
44SC01015100
NJ
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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