Eric Keven Gibson, NO

NPI #1114485257 in Evans, Colorado

Provider Information

NPI Number: 1114485257
Entity Type: Individual
Name: Eric Keven Gibson, NO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: NO
Enumeration Date: Mar 7, 2019
Last Updated: Mar 7, 2019

Practice Location

Address: 4301 BUFFALO TRL
City: Evans
State: Colorado
ZIP Code: 80620-9454
Phone: (310) 877-0774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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