Nia N. Gibson
Counselor in Oakland, CA. Individual provider (NPI-1).
NPI number1104548643
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1104548643
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nia N. Gibson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2022
- Certification date
- Nov 2, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3301 E 12th StOakland, CA 94601-3424
Phone 510-269-9030
Mailing address
1871 Trade Zone WaySan Jose, CA 95131-3409
Phone 513-500-4444
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