Individual
KATELYN GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 BENFIELD BLVD STE B, MILLERSVILLE, MD 21108-2644
(410) 863-7213
Mailing address
2481 LEWIS LN, FINKSBURG, MD 21048-1440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12374
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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