Provider Information for 1538816715
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GARY GESLER LMFT, PhD
Sex: Male
NPI: 1538816715
Last Updated: 2022-03-07
Certification Date: 2022-03-07
Certification Date: 2022-03-07
Details
| Name | Value | ||||||||
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| NPI | 1538816715 | ||||||||
| Enumeration Date | 2022-03-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 19178 CHOCTAW RD BEND, OR 97702-8961 United States Phone: 541-270-1101 | Fax: | ||||||||
| Primary Practice Address | 19178 CHOCTAW RD BEND, OR 97702-8961 United States Phone: 541-270-1101 | Fax: | ||||||||
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