Individual
ZACHARY MCCORMICK GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5511 STAPLES MILL RD, RICHMOND, VA 23228-5445
(804) 523-6242
Mailing address
5511 STAPLES MILL RD, RICHMOND, VA 23228-5445
(804) 523-6242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008779
VA
Other
Enumeration date
10/11/2013
Last updated
04/10/2020
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