| Deep Blue Sea Counseling Llc | |
|
1949 Se Palmquist Rd Unit 94 Gresham OR 97080-7210 | |
| (503) 504-4622 | |
| Not Available |
| Full Name | Deep Blue Sea Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1949 Se Palmquist Rd Unit 94, Gresham, Oregon |
| Authorized Official Name and Position | Taunya M Gesner (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5035044622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Blue Sea Counseling Llc 1949 Se Palmquist Rd Unit 94 Gresham OR 97080-7210 Ph: (503) 504-4622 | Deep Blue Sea Counseling Llc 1949 Se Palmquist Rd Unit 94 Gresham OR 97080-7210 Ph: (503) 504-4622 |
| NPI Number | 1538964200 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538964200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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