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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None 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.