CONSTACE GIBSON, MFT LLC

SANTA ROSA, CA
NPI1124856364
Doing Business AsCONSTANCE GIBSON, MFT
Entity TypeOrganization
Authorized ContactCONSTANCE GIBSON
Owner
707-583-9287
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
CONSTACE GIBSON, MFT LLC
2613 VILLAGE SIDE DR
SANTA ROSA, CA 95405-6849
Phone number: 707-583-9287
Mailing Address
CONSTACE GIBSON, MFT LLC
PO BOX 11746
OLYMPIA, WA 98508-1746
Phone number: 707-583-9287