Individual provider · Type 1 NPI

Cornelia Gibson

Marriage & Family Therapist · Fairfield, CA

NPI number 1700940806 Active

Practice location

1652 W Texas St, Suite 204
Fairfield, CA 94533-6080

Call (707) 384-7303 Map

Fax (707) 247-4233

Mailing address

1500 Oliver Rd, #285
Fairfield, CA 94534-3450

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC 50494 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1700940806

Cornelia Gibson's National Provider Identifier is 1700940806, issued on Dec 21, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fairfield, CA. The record was last updated on Jun 29, 2012.