Organization · Type 2 NPI

Latrece Gaither, LLC

Mental Health Counselor · Gresham, OR

NPI number 1356065502 Active

Practice location

510 NE Roberts Ave Ste 200
Gresham, OR 97030-7484

Fax (855) 719-2524

Mailing address

PO Box 214
Fairview, OR 97024-0214

Other practice locations

  • 2872 NE Kelly Pl, Gresham, OR 97030-2793 · (971) 236-2728

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356065502

Latrece Gaither, LLC's National Provider Identifier is 1356065502, issued on Sep 30, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Sep 30, 2022.