Individual
LISA OLIVIA GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4708 RETREAT LN APT 191, FREDERICKSBURG, VA 22408-7818
(540) 479-7509
Mailing address
4708 RETREAT LANE, APT 191, FREDERICKSBURG, VA 22408-7818
(154) 047-9750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011621
VA
Other
Enumeration date
07/12/2022
Last updated
08/10/2022
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