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Miranda Gambetti, LPC,CADCII
Mental Health Counselor in West Linn, Oregon
NPI 1053713354

Miranda Gambetti is a Mental Health Counselor based in West Linn, OR and is specialized in Mental Health. Miranda Gambetti practices in West Linn, OR and has the professional credentials of LPC,CADCII. The NPI Number for Miranda Gambetti is 1053713354 and holds a License No. 13-R-37 (Oregon).

The current practice location address for Miranda Gambetti is 1236 14Th St, West Linn, OR and can be reached out via phone at 971-267-2217.

Location: 1236 14Th St, West Linn, OR, 97068-4529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053713354
Provider Name
Miranda Gambetti
Credential
LPC,CADCII
Provider Entity Type
Individual
Gender
Female
Address
1236 14Th St, West Linn, OR, 97068-4529
Phone Number
971-267-2217
Fax Number
Provider Enumeration Date
09/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000WDBCH 01 OR GROUP MEDICARE
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
1236 14Th St
City
West Linn
State
Oregon
Zip
97068-4529
Phone Number
971-267-2217
Fax Number
person
Provider Business Mailing Address Details
Address
1236 14Th St
City
West Linn
State
Oregon
Zip
97068-4529
Phone Number
971-267-2217
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C3321 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
13-R-37 (Oregon)
Definition
Definition to come...
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