Provider Demographics
NPI:1912582628
Name:GIBB, SABRINA (LGPC)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:GIBB
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 1:5920 MAPLEWOOD PARK PL
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1744
Mailing Address - Country:US
Mailing Address - Phone:240-319-2028
Mailing Address - Fax:
Practice Address - Street 1:5920 MAPLEWOOD PARK PL
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1744
Practice Address - Country:US
Practice Address - Phone:240-319-2028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10721101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional