Nicole Marie Gibson, CASAC-T - Syracuse, NY

Nicole Marie Gibson, CASAC-T

Adult Mental Health Clinic/Center in Syracuse, New York

NPI 1114438611

Nicole Marie Gibson is an Adult Mental Health Clinic/Center based in Syracuse, NY and is specialized in Adult Mental Health. Nicole Marie Gibson practices in Syracuse, NY and has the professional credentials of CASAC-T. The NPI Number for Nicole Marie Gibson is 1114438611 and holds a License No. 31404 (New York).

The current practice location address for Nicole Marie Gibson is 321 W Onondaga St, Syracuse, NY and can be reached out via phone at 315-478-0610.

Location: 321 W Onondaga St, Syracuse, NY, 13205-1513

NPI Number

1114438611

Provider Name

Nicole Marie Gibson

Credential

CASAC-T

Provider Entity Type

Individual

Gender

Female

Address

321 W Onondaga St, Syracuse, NY, 13205-1513

Phone Number

315-478-0610

Fax Number

Provider Enumeration Date

10/24/2017

Last Update Date

03/10/2024

Address

321 W Onondaga St

City

Syracuse

State

New York

Zip

13202-3207

Phone Number

315-478-0610

Fax Number

Address

321 W Onondaga St

City

Syracuse

State

New York

Zip

13202-3207

Phone Number

315-478-0610

Fax Number

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adult Mental Health

Taxonomy

261QM0850X

License No.

31404 (New York)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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