Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Carlton Gibbs, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386351302

Mr. Carlton Gibbs, SUDRC is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

12021 Wilmington Ave Ste 300
Los Angeles, CA 90059-3019
Phone: (323) 979-3009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1386351302
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

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