Gestrin, Deidre

Gestrin, Deidre is an individual health care provider with primary practice located at 3975 Midway Drive , Baker City OR 97814. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gestrin, Deidre can be contacted via phone (541) 524-9070.

Contact Information

Primary practice address
3975 Midway Drive Baker City OR 97814
Phone: (541) 524-9070
Fax: (541) 524-9077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-4435 Idaho
Behavioral Health & Social Service Providers / Professional 101YP2500X C3685 Oregon

Profile Details

NPI number 1811222680
LBN Legal business name Gestrin, Deidre
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2009
Last updated Oct 10th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811222680 NPPES
Idaho MEDICAID 002803300
Idaho MEDICAID 500693827

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