National Provider Identifier

Kristin Marie Gibson, MS

Kristin Marie Gibson, MS is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Niagara Falls, NY and a listed phone number of (716) 831-1840.

NPI 1316194137Niagara Falls, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1316194137
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
August 22, 2008
Last Updated
August 22, 2008

Practice Location

  • 6520 Niagara Falls Blvd
  • Niagara Falls, NY 14304-1550

Phone: (716) 831-1840

Mailing Address

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1316194137
Entity Type
Individual
Last Name
Gibson
First Name
Kristin
Middle Name
Marie
Name Prefix
Mrs.
Credential
MS
Provider Other Last Name
Gulliford
Provider Other First Name
Kristin
Provider Other Middle Name
Marie
Provider Other Credential Text
MS
Provider Other Last Name Type Code
1
Mailing Street Address
3020 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Practice Street Address
6520 Niagara Falls Blvd
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14304-1550
Practice Country
US
Practice Phone
(716) 831-1840
Practice Fax
(716) 831-1839
Enumeration Date
August 22, 2008
Last Updated
August 22, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)