Gibson, James M

Gibson, James M is an individual health care provider with primary practice located at 106D Ridgeview Dr , Cary NC 27511. He recently has 3 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 / Mental Health. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Gibson, James M can be contacted via phone (919) 467-9995.

Contact Information

Primary practice address
106D Ridgeview Dr Cary NC 27511
Phone: (919) 467-9995
Fax: (919) 467-8653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 11814 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 911 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 861 North Carolina

Profile Details

NPI number 1073584629
LBN Legal business name Gibson, James M
Credentials MSED LPC CEAP CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1073584629 NPPES
North Carolina MEDICAID 6102491

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