Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MARIE GIBSON, CASAC-T
Active Sole ProprietorNICOLE MARIE GIBSON, CASAC-T is a Adult Mental Health Clinic healthcare provider located in SYRACUSE, New York. NPI 1114438611 is currently active in the NPPES registry. Verify at CMS.
Adult Mental Health Clinic · SYRACUSE, NY
Registration Details
- NPI Number
- 1114438611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2017 (8.6227897577676 yrs)
- Last Updated
- Oct 24, 2017
- License
-
31404 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
321 W ONONDAGA STSYRACUSE, NY, 132023207Browse NY providers · Browse ZIP 13202
- Phone
- 3154780610
- Primary Specialty
-
Adult Mental Health Clinic
261QM0850X
Other Adult Mental Health Clinic Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| JENNIFER FULLER | LMHC | 1467615377 |
| CHRISTOPHER PAUL MAYER | — | 1013411552 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.