Provider Demographics
NPI:1871041541
Name:GILBERD, JILL (LMFT)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:GILBERD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3480 BUSKIRK AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4342
Mailing Address - Country:US
Mailing Address - Phone:925-933-2627
Mailing Address - Fax:925-933-5824
Practice Address - Street 1:3480 BUSKIRK AVE STE 201
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4342
Practice Address - Country:US
Practice Address - Phone:925-933-2627
Practice Address - Fax:925-933-5824
Is Sole Proprietor?:No
Enumeration Date:2016-09-12
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA116399106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist