Organization
AGAPE COUNSELING CENTER AND NETWORK
Active
Organization
AGAPE COUNSELING CENTER AND NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIA GIBSON ED.D. (EXECUTIVE DIRECTOR)
(707) 384-7303
Entity
Organization
Contact information
Practice address
1745 ENTERPRISE DR, BLDG 2, FAIRFIELD, CA 94533-5801
(707) 384-7303
(707) 247-4233
Mailing address
PO BOX 2433, FAIRFIELD, CA 94533-0243
(707) 384-7303
(707) 247-4233
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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