Individual provider · Type 1 NPI

Daniel Gaxiola

Mental Health Counselor · Bend, OR

NPI number 1760984082 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7752

Call (541) 322-7500 Map

Fax (541) 322-7565

Mailing address

PO Box 1432
Bend, OR 97709-1432

Other practice locations

  • 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 · (541) 480-2570

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1760984082

Daniel Gaxiola's National Provider Identifier is 1760984082, issued on Mar 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on May 16, 2019.