Gibbs, Craig William
Gibbs, Craig William is an sole proprietor health care provider with primary practice located at 1230 High St Suite 120A, Auburn CA 95603-5043. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gibbs, Craig William can be contacted via phone (530) 878-8319.Contact Information
Primary practice address
1230 High St Suite 120A
Auburn CA 95603-5043
Phone: (530) 878-8319
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 27635 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 27635 | California |
Behavioral Health & Social Service Providers / School | 1041S0200X | 27635 | California |
Profile Details
NPI number | 1952432056 |
---|---|
LBN Legal business name | Gibbs, Craig William |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2007 |
Last updated | Apr 27th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952432056 | NPPES |
California | Other | 27635 | LCSW |
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