Provider Demographics
NPI:1538673272
Name:GIBSON, STERLING (LPC)
Entity Type:Individual
Prefix:
First Name:STERLING
Middle Name:
Last Name:GIBSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 BARRISTER CT
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6735
Mailing Address - Country:US
Mailing Address - Phone:215-989-9040
Mailing Address - Fax:
Practice Address - Street 1:336 BARRISTER CT
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6735
Practice Address - Country:US
Practice Address - Phone:215-989-9040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional