Individual
AMANDA ELIZABETH GIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8750 MOUNTAIN BLVD BLDG 69, OAKLAND, CA 94605-4500
(510) 317-1444
Mailing address
8750 MOUNTAIN BLVD BLDG 69, OAKLAND, CA 94605-4500
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
51387
CA
Other
Enumeration date
06/30/2009
Last updated
04/24/2012
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