Individual
THUTHAO CANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC., CADC1
Contact information
Practice address
1545 HARBECK RD, GRANTS PASS, OR 97527-5605
(541) 476-2737
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3421
OR
Other
Enumeration date
10/10/2011
Last updated
02/07/2024
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