Mr Dwayne Lee Gibson Jr, MSW, CDCA - Counselor in Toledo, OH

Mr Dwayne Lee Gibson Jr, MSW, CDCA is a Counselor - Addiction (substance Use Disorder) based in Toledo, Ohio. Mr Dwayne Lee Gibson Jr is licensed to practice in Ohio (license number 090176) and his current practice location is 5416 Glenridge Dr, Toledo, Ohio. He can be reached at his office (for appointments etc.) via phone at (419) 705-2169.

NPI number for Mr Dwayne Lee Gibson Jr is 1700180262 and his current mailing address is 5416 Glenridge Dr, Toledo, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700180262.

Contact Information

Mr Dwayne Lee Gibson Jr, MSW, CDCA
5416 Glenridge Dr,
Toledo, OH 43614-1608
(419) 705-2169
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Dwayne Lee Gibson Jr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5416 Glenridge Dr, Toledo, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700180262
  • Provider Enumeration Date: 12/27/2010
  • Last Update Date: 12/27/2010

Medical Identifiers

Medical identifiers for Mr Dwayne Lee Gibson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700180262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 090176 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dwayne Lee Gibson Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Dwayne Lee Gibson Jr, MSW, CDCA
5416 Glenridge Dr,
Toledo, OH 43614-1608

Ph: (419) 705-2169
Mr Dwayne Lee Gibson Jr, MSW, CDCA
5416 Glenridge Dr,
Toledo, OH 43614-1608

Ph: (419) 705-2169

Reviews and Comments


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