Organization
CONSTACE GIBSON, MFT LLC
Active
Other names
Constance Gibson, MFT
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE GIBSON (OWNER)
(707) 583-9287
Entity
Organization
Contact information
Practice address
2613 VILLAGE SIDE DR, SANTA ROSA, CA 95405-6849
(707) 583-9287
Mailing address
PO BOX 11746, OLYMPIA, WA 98508-1746
(707) 583-9287
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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