| Doctor Name: | MR. STEVEN PAUL GILBERTSON |
| NPI Number: | 1063613644 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 3462 |
| Business Practice Address: | 606 Main Street Limon, CO - 80828 |
| Business Phone Number: | 7197752313 |
| Business Fax Number: | 7197752315 |
| Mailing Address: | Po Box 976, LIMON |
| State: | CO |
| Postal Code: | 808280976 |
| Phone Number: | 7197752313 |
| Fax Number: | 7197752315 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 04/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 3462 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |