Johnson, Gabrielle

Johnson, Gabrielle is an individual health care provider with primary practice located at 155 Ne Revere Ave Ste 150 , Bend OR 97701-4147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Johnson, Gabrielle can be contacted via phone (541) 617-4544.

Contact Information

Primary practice address
155 Ne Revere Ave Ste 150 Bend OR 97701-4147
Phone: (541) 617-4544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-21-813 Oregon

Profile Details

NPI number 1023615879
LBN Legal business name Johnson, Gabrielle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2020
Last updated Aug 23rd, 2021 - about 5 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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