Erik Gantt, LPC, CADC I

NPI 1154830768 · on the registry since 2017

Practice

Address: 1128 Nw Harriman St
Bend, OR 97703
Phone: (541) 322-7500
Fax: (541) 322-7565
Organisation at this address: Genoa Healthcare Llc
Mosaic Community Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 94

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YM0800X
175T00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon