Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Constace Gibson, Mft LLC

Organization Community/Behavioral Health Agency · NPI 1124856364

Constace Gibson, Mft LLC is a Community/Behavioral Health Agency in Santa Rosa, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2613 Vlg Side DR
Santa Rosa, CA 95405-6849
Phone: (707) 583-9287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1124856364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constance Gibson — Owner · (707) 583-9287
Other names Constance Gibson, Mft
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 19, 2024
Mailing addressPo Box 11746, Olympia, WA 98508-1746

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