MRS. ANNETTE GIBSON CDCA NPI 1619513470

NPI Information

NPI: 1619513470
Provider Name: MRS. ANNETTE GIBSON, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
16001 HOLMES AVE
CLEVELAND, OH
ZIP 44110
Phone: (216) 352-0200
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MRS. Annette Gibson, CDCA is an addiction (substance use disorder) counselor in Cleveland, OH. MRS. Annette Gibson, CDCA NPI is 1619513470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16001 HOLMES AVE
CLEVELAND, OH
ZIP 44110-460
Phone: (216) 352-0200

The enumeration date for this NPI number is 11/26/2019 and was last updated on 11/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.171746	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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