Individual
MS. ALIDA DANIELLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
65 THOMAS JOHNSON DR, SUITE A, FREDERICK, MD 21702-4371
(240) 575-9688
(301) 695-9694
Mailing address
65 THOMAS JOHNSON DR, SUITE A, FREDERICK, MD 21702-4371
(240) 575-9688
(301) 695-9694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP5044
MD
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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