Individual provider · Type 1 NPI

Stefan Gibson

Professional Counselor · Phoenix, AZ

NPI number 1063986891 Active

Practice location

3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806

Mailing address

2111 E Highland Ave Ste B200
Phoenix, AZ 85016-4741

Other practice locations

  • 2111 E Highland Ave Ste B200, Phoenix, AZ 85016-4741 · (602) 855-0445

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1063986891

Stefan Gibson's National Provider Identifier is 1063986891, issued on Jan 15, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 27, 2025.