Individual provider · Type 1 NPI

Deidra Aubrey Gwyther

Mental Health Counselor · Springfield, OR

NPI number 1962669218 Active

Practice location

175 W B St Ste I
Springfield, OR 97477-4575

Call (541) 988-1025 Map

Fax (541) 844-1051

Other practice locations

  • 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 · (248) 436-4400

Specialties and licenses

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

Mental Health Counselor: Definition to come...

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About NPI 1962669218

Deidra Aubrey Gwyther's National Provider Identifier is 1962669218, issued on May 22, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on Nov 4, 2019.