Individual provider · Type 1 NPI

Erik Muse Gantt, LPC, CADC I

Professional Counselor · Bend, OR

NPI number 1154830768 Active

Practice location

1128 NW Harriman St
Bend, OR 97703-1947

Fax (541) 322-7565

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7752

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Peer Specialist 175T00000XNone listed
Professional Counselor Primary 101YP2500XC8692 (OR)

Professional Counselor: Definition to come...

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About NPI 1154830768

Erik Muse Gantt, LPC, CADC I's National Provider Identifier is 1154830768, issued on Sep 26, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Aug 20, 2024.