person
Mr. Jerry M Wanitschek-gilmer, LPC
Professional Counselor in Mcminnville, Oregon
NPI 1235431925

Jerry M Wanitschek-gilmer is a Professional Counselor based in Tillamook, OR and is specialized in Professional. Jerry M Wanitschek-gilmer practices in Mcminnville, OR and has the professional credentials of LPC. The NPI Number for Jerry M Wanitschek-gilmer is 1235431925 and holds a License No. C3884 (Oregon).

The current practice location address for Jerry M Wanitschek-gilmer is 627 Ne Evans St, Mcminnville, OR and can be reached out via phone at 503-434-7523 and via fax at 503-815-1870. You can also correspond with Jerry M Wanitschek-gilmer through the mailing address at 3702 HAWTHORNE LN, TILLAMOOK, OR - 97141-2631 (mailing address contact number: 530-356-9087).

Location: 627 Ne Evans St, Mcminnville, OR, 97141-2631
person
Provider Profile Details
NPI Number
1235431925
Provider Name
Jerry M Wanitschek-gilmer
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
627 Ne Evans St, Mcminnville, OR, 97141-2631
Phone Number
503-434-7523
Fax Number
503-815-1870
Provider Enumeration Date
12/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
223354 05 OR
500699827 05 OR
institution
Provider Business Practice Location Address Details
Address
627 Ne Evans St
City
State
Zip
97128-3923
Phone Number
503-434-7523
Fax Number
503-815-1870
person
Provider Business Mailing Address Details
Address
627 Ne Evans St
City
State
Zip
97128-3923
Phone Number
503-434-7523
Fax Number
503-815-1870
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3884 (Oregon)
Definition
Definition to come...
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