Organization · Type 2 NPI

Constace Gibson, MFT LLC

Community/Behavioral Health Agency · Santa Rosa, CA

NPI number 1124856364 Active

Practice location

2613 Village Side Dr
Santa Rosa, CA 95405-6849

Call (707) 583-9287 Map

Mailing address

PO Box 11746
Olympia, WA 98508-1746

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1124856364

Constace Gibson, MFT LLC's National Provider Identifier is 1124856364, issued on Jul 22, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 22, 2024.