Individual provider · Type 1 NPI
Susan Annette Gibson
Counselor · Fairfax, VA
NPI number
1841113693
Active
Practice location
10379 Democracy Ln
Fairfax, VA 22030-2505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 0704019339 (VA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1841113693
Susan Annette Gibson's National Provider Identifier is 1841113693, issued on Jul 30, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairfax, VA. The record was last updated on Jul 30, 2026.