Susan Gibboney in Bloomington - Addiction (substance Use Disorder)

Susan Gibboney - NPI 1811187206

Susan Gibboney is a Addiction (substance Use Disorder) in Bloomington, California. Susan Gibboney practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Susan Gibboney is 1811187206. The last update date is 2007-07-31.

Susan Gibboney's current location address is 18612 Santa Ana Ave, Bloomington, California. You can contact this provider via phone number 9094217120 and fax number 9094217128. The mailing address for Susan Gibboney is 18612 Santa Ana Ave, Bloomington, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Gibboney
Address 18612 Santa Ana Ave, Bloomington, California
Phone Number 9094217120
Fax Number 9094217128
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1811187206
Provider Enumeration Date 2007-07-31
Last Updated Date 2007-07-31

Provider Mailing Address Detail

Address 18612 Santa Ana Ave
City Bloomington
State California (CA)
Post Code 923162636
Phone Number 9094217120
Fax Number 9094217128

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Susan Gibboney

What is the Susan Gibboney's unique identification number?

The Susan Gibboney has been assigned the NPI (National Provider Identifier) Number 1811187206 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Susan Gibboney's facilities are geographically located?

The facilities of Susan Gibboney are physically situated at the following location: 18612 Santa Ana Ave, Bloomington, CA, 923162636.

What is Susan Gibboney's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Susan Gibboney's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1811187206 to Susan Gibboney?

The Susan Gibboney received its 1811187206 assignment from the Centers for Medicare & Medicaid Services on 2007-07-31.

As of what date were the details pertaining to Susan Gibboney last refreshed?

The information related to the Susan Gibboney, including its address, specialty, and other relevant details, was last updated on 2007-07-31.

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