Connie Ann Gibson, is a 
Peer Specialist based in Kennewick, Washington. Connie Ann Gibson is licensed to practice in * (Not Available) (license number ) and her current practice location is 
3321 W Kennewick Ave Ste 150, Kennewick, Washington. She can be reached at her office (for appointments etc.) via phone at 
(509) 735-6446.
NPI number for Connie Ann Gibson is 1083241350 and her current mailing address is 3321 W Kennewick Ave Ste 150, Kennewick, Washington. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083241350.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Connie Ann Gibson | 
|---|
| Gender | Female | 
|---|
| Speciality | Peer Specialist | 
|---|
| Location | 3321 W Kennewick Ave Ste 150, Kennewick, Washington | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1083241350
 - Provider Enumeration Date: 03/25/2020
 - Last Update Date: 02/10/2022
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Connie Ann Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1083241350 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101Y00000X | Counselor  |  (* (Not Available)) | Secondary | 
| 175T00000X | Peer Specialist  |  (* (Not Available)) | 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. Connie Ann Gibson 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 Address | Practice Location Address | 
		Connie Ann Gibson, 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 Ph: (509) 735-6446 | Connie Ann Gibson, 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 Ph: (509) 735-6446 | 
		
		 
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