Individual
CASSANDRA MICHELLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63159 BOYD ACRES RD, BEND, OR 97701-8516
(541) 854-5324
Mailing address
643 NW 6TH CT, MCMINNVILLE, OR 97128-5107
(971) 237-7390
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6598
OR
Other
Enumeration date
07/28/2017
Last updated
09/19/2023
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