Individual provider · Type 1 NPI

Andrea R. Gardner-Young, LPC, CMHC

Mental Health Counselor · Coos Bay, OR

NPI number 1598282188 Active

Practice location

1995 Newmark Ave # 1017
Coos Bay, OR 97420-4727

Map

Mailing address

1227 N 8th St
Coos Bay, OR 97420-2416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7403966-6004 (UT)
Mental Health Counselor Primary 101YM0800XC5086 (OR)

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About NPI 1598282188

Andrea R. Gardner-Young, LPC, CMHC's National Provider Identifier is 1598282188, issued on Aug 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coos Bay, OR. The record was last updated on Dec 27, 2024.