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Individual

MR. ALEX J GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
107 CARPENTER DRIVE, SUITE 210, STERLING, VA 20164-4468
(703) 297-4368
(571) 512-7955
Mailing address
107 CARPENTER DRIVE, SUITE 210, STERLING, VA 20164-4468
(703) 297-4368
(571) 512-7955

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TC0700X
Clinical Psychologist
Primary
0810007662
VA

Other

Enumeration date
09/02/2016
Last updated
01/16/2026
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