Gibson, Cody Bruce
Gibson, Cody Bruce is an sole proprietor health care provider with primary practice located at 3800 Coolidge Ave , Oakland CA 94602-3311. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gibson, Cody Bruce can be contacted via phone (510) 482-2244.Contact Information
Primary practice address
3800 Coolidge Ave
Oakland CA 94602-3311
Phone: (510) 482-2244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT96999 | California |
Profile Details
| NPI number | 1063771335 |
|---|---|
| LBN Legal business name | Gibson, Cody Bruce |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2012 |
| Last updated | Jun 4th, 2025 - about last year |
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 | 1063771335 | NPPES |
| California | Other | 1538223300 | MEDICAL |
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