Kaily Rae Gardner

NPI #1588371272 in Sutherlin, Oregon

Provider Information

NPI Number
1588371272
Entity Type
Individual
Name
Kaily Rae Gardner
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Nov 1, 2022
Last Updated
Nov 12, 2025

Practice Location

Address
352 S CALAPOOIA ST STE B
State
Oregon
ZIP Code
97479-9558
Phone
(541) 799-5386

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health
Case Manager/Care Coordinator
Peer Specialist

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