Individual provider · Type 1 NPI

Casey Anne Gidcumb

Mental Health Counselor · San Bernardino, CA

NPI number 1780296764 Active

Practice location

290 N D St Ste 700
San Bernardino, CA 92401-1705

Call (909) 963-5355 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800X16474 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1780296764

Casey Anne Gidcumb's National Provider Identifier is 1780296764, issued on Aug 20, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 3, 2025.