Individual
CARROLINE ROSE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 E 1ST ST, SANTA ANA, CA 92705-4007
(714) 542-3581
Mailing address
2101 E 1ST ST, SANTA ANA, CA 92705-4007
(714) 542-3581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01119868
CA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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