Organization
MICHAEL GIBBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GIBBS LPC (THERAPIST)
(215) 200-8298
Entity
Organization
Contact information
Practice address
2443 GOLF RD, PHILADELPHIA, PA 19131-1416
(215) 200-8298
Mailing address
2443 GOLF RD, PHILADELPHIA, PA 19131-1416
(215) 200-8298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00505300
NJ
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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