Individual
ANDREA R GARDNER-YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CMHC
Contact information
Practice address
1995 NEWMARK AVE # 1017, COOS BAY, OR 97420-4727
Mailing address
1227 N 8TH ST, COOS BAY, OR 97420-2416
(801) 259-1350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7403966-6004
UT
101YM0800X
Mental Health Counselor
Primary
C5086
OR
Other
Enumeration date
08/24/2017
Last updated
12/27/2024
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