Individual
JULIANNA GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51340 HIGHWAY 97, LA PINE, OR 97739-9871
(541) 322-7500
Mailing address
800 NE YUCCA AVE, REDMOND, OR 97756-8784
(541) 854-0226
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C9127
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
12/20/2024
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