Individual
ERIK MUSE GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CADC I
Contact information
Practice address
1128 NW HARRIMAN ST, BEND, OR 97703-1947
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(415) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C8692
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/26/2017
Last updated
08/20/2024
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