Individual
LATRECE GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
510 NE ROBERTS AVE STE 200, GRESHAM, OR 97030-7484
(971) 236-2728
(855) 719-2524
Mailing address
PO BOX 214, FAIRVIEW, OR 97024-0214
(971) 236-2728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C5156
OR
106H00000X
Marriage & Family Therapist
Primary
T1531
OR
Other
Enumeration date
08/20/2012
Last updated
10/23/2023
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