Individual provider · Type 1 NPI

Krista Gephart

Mental Health Counselor · Medford, OR

NPI number 1073157350 Active

Practice location

221 W Stewart Ave Ste 101
Medford, OR 97501-3609

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073157350

Krista Gephart's National Provider Identifier is 1073157350, issued on Oct 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jun 29, 2021.