Constace Gibson, Mft LLC
NPI #1124856364 in Santa Rosa, California
Provider Information
- NPI Number
- 1124856364
- Entity Type
- Organization
- Organization Name
- Constace Gibson, Mft LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 22, 2024
- Last Updated
- Jul 22, 2024
Practice Location
- Address
- 2613 VILLAGE SIDE DR
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95405-6849
- Phone
- (707) 583-9287
Authorized Official
- Name
- CONSTANCE GIBSON
- Title
- OWNER
- Phone
- (707) 583-9287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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