Individual
GIBBONS AKENJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6911 SOURWOOD LN, FORT WASHINGTON, MD 20744-3143
(945) 267-0835
Mailing address
6911 SOURWOOD LN, FORT WASHINGTON, MD 20744-3143
(945) 267-0835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
06/02/2026
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