Gibson, Beverly M

Gibson, Beverly M is an sole proprietor health care provider with primary practice located at 68 Dunmore Avneue , Ewing NJ 08618. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Gibson, Beverly M can be contacted via phone (609) 577-9714.

Contact Information

Primary practice address
68 Dunmore Avneue Ewing NJ 08618
Phone: (609) 577-9714
Fax: (608) 671-1500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 44SW00330700 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00032400 New Jersey

Profile Details

NPI number 1245543453
LBN Legal business name Gibson, Beverly M
Credentials LCADC, CSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2010
Last updated Jul 16th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245543453 NPPES
New Jersey Other 44SW00330700 CSW
New Jersey Other 37LC00032400 CSW

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