Provider Demographics
NPI:1922789981
Name:GUBER, SLOANE (LGPC)
Entity Type:Individual
Prefix:
First Name:SLOANE
Middle Name:
Last Name:GUBER
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 4TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3410
Mailing Address - Country:US
Mailing Address - Phone:240-350-1664
Mailing Address - Fax:
Practice Address - Street 1:4405 E WEST HWY STE 602
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4537
Practice Address - Country:US
Practice Address - Phone:240-350-1664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLG13009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health