Individual
DANIEL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10379B DEMOCRACY LN, FAIRFAX, VA 22030-2505
(434) 333-1592
Mailing address
207 CONNECTICUT AVE, LYNCHBURG, VA 24502-4705
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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