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Erik Muse Gantt, LPC,CADCI
Professional Counselor in Bend, Oregon
NPI 1154830768

Erik Muse Gantt is a Professional Counselor based in Bend, OR and is specialized in Professional. Erik Muse Gantt practices in Bend, OR and has the professional credentials of LPC,CADCI. The NPI Number for Erik Muse Gantt is 1154830768 and holds a License No. (Oregon).

The current practice location address for Erik Muse Gantt is 1128 Nw Harriman St, Bend, OR and can be reached out via phone at 541-322-7500 and via fax at 541-322-7565.

Location: 1128 Nw Harriman St, Bend, OR, 97701-7752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154830768
Provider Name
Erik Muse Gantt
Credential
LPC,CADCI
Provider Entity Type
Individual
Gender
Male
Address
1128 Nw Harriman St, Bend, OR, 97701-7752
Phone Number
541-322-7500
Fax Number
541-322-7565
Provider Enumeration Date
09/26/2017
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
1128 Nw Harriman St
City
Bend
State
Oregon
Zip
97703-1947
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider Business Mailing Address Details
Address
1128 Nw Harriman St
City
Bend
State
Oregon
Zip
97703-1947
Phone Number
541-322-7500
Fax Number
541-322-7565
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C8692 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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