| NPI | 1124856364 |
|---|---|
| Doing Business As | CONSTANCE GIBSON, MFT |
| Entity Type | Organization |
| Authorized Contact | CONSTANCE GIBSON Owner 707-583-9287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |