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Individual
MR. MICHAEL ANTHONY GIBBS
Active
Individual
MR. MICHAEL ANTHONY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA1781
MD
101YM0800X
Mental Health Counselor
Primary
LCA1781
MD
Other
Enumeration date
02/05/2013
Last updated
12/23/2024
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