NICOLE GIBSON, CASAC-T

Clinic/Center - Adult Mental Health

Active Individual
NPI: 1114438611

Practice Address

321 W ONONDAGA ST
Syracuse, NY 13202

Phone: (315) 478-0610

Specialties

Specialty Code Primary License
Clinic/Center - Adult Mental Health 261QM0850X Yes 31404 (NY)

Frequently Asked Questions

NPI 1114438611 is the National Provider Identifier for NICOLE GIBSON, CASAC-T, a Clinic/Center - Adult Mental Health provider located in Syracuse, NY. This NPI was enumerated on October 24, 2017.
NICOLE GIBSON, CASAC-T practices at 321 W ONONDAGA ST, Syracuse, NY 13202.

Quick Facts

NPI
1114438611
Type
Individual
Enumerated
Oct 24, 2017
Last Updated
Oct 24, 2017

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