Individual
EMILY GILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA, M.ED.
Contact information
Practice address
20970 KING HEZEKIAH WAY, BEND, OR 97702-2849
(503) 481-5795
Mailing address
20970 KING HEZEKIAH WAY, BEND, OR 97702-2849
(503) 481-5795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8284
OR
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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