DIANA L GANTT

PORTLAND, OR
NPI1871959833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C1359)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: OR  C1359)
Enumeration Date2016-01-06
Last Update Date2024-09-30
Business Address
DIANA L GANTT LPC
5228 NE HOYT ST BLDG B
PORTLAND, OR 97213-3055
Phone number: 503-215-6474
Mailing Address
DIANA L GANTT LPC
5228 NE HOYT ST BLDG B
PORTLAND, OR 97213-3055
Phone number: 503-215-6474