MR. Grant Judson Gill
NPI #1427667328 in North Bend, Oregon
Provider Information
- NPI Number
- 1427667328
- Entity Type
- Individual
- Name
- MR. Grant Judson Gill
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 27, 2020
- Last Updated
- Jul 27, 2020
Practice Location
- Address
- 1817 16TH ST
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-2629
- Phone
- (541) 297-6230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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