Individual
LEAH PERKINS GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
2518 SW 33RD CT, REDMOND, OR 97756-7205
(541) 241-4396
Mailing address
2518 SW 33RD CT, REDMOND, OR 97756-7205
(541) 241-4396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7384
OR
Other
Enumeration date
06/10/2020
Last updated
04/10/2024
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