Individual
MR. MICHAEL ANTHONY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
3705 RASPE AVE, BALTIMORE, MD 21206-2403
(410) 262-7455
Mailing address
3705 RASPE AVE, BALTIMORE, MD 21206-2403
(410) 262-7455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA1781
MD
101YM0800X
Mental Health Counselor
Primary
LCA1781
MD
Other
Enumeration date
02/05/2013
Last updated
12/23/2024
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