Julie Anne Gibney

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Richmond, MI

NPI 1124774047 · NPPES record last updated Mar 1, 2022

Key facts

NPI
1124774047
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
400 Stoddard Rd
Richmond, MI 48062-2505
Phone
(810) 392-2467
Fax
(810) 392-3530
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Mailing address

400 Stoddard Rd
Richmond, MI 48062-2505
Phone (810) 392-2167

Other providers in Richmond, MI

All providers in Richmond, MI · Addiction (Substance Use Disorder) Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.