Individual provider · Type 1 NPI

Diana L. Gantt, LPC

Professional Counselor · Portland, OR

NPI number 1871959833 Active

Practice location

5228 NE Hoyt St Bldg B
Portland, OR 97213-3055

Call (503) 215-6474 Map

Fax (503) 215-6477

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC1359 (OR)
Professional Counselor Primary 101YP2500XC1359 (OR)

Professional Counselor: Definition to come...

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About NPI 1871959833

Diana L. Gantt, LPC's National Provider Identifier is 1871959833, issued on Jan 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Sep 30, 2024.