Individual
MS. DEIDRE GESTRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3975 MIDWAY DRIVE, BAKER CITY, OR 97814
(541) 524-9070
(541) 524-9077
Mailing address
P.O. BOX 1005, BAKER CITY, OR 97814
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-4435
ID
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3685
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002803300
—
ID
05
—
500693827
—
OR
Enumeration date
10/12/2009
Last updated
10/10/2018
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