Individual
BROOKE GIBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8799
Mailing address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
09/19/2019
Last updated
05/14/2025
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