Provider Demographics
NPI:1528630969
Name:GUNTER, JAMIE R (MS, LSC, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:R
Last Name:GUNTER
Suffix:
Gender:F
Credentials:MS, LSC, LPC, NCC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:R
Other - Last Name:MCCOWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:61485 SE LUNA PL
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3726
Mailing Address - Country:US
Mailing Address - Phone:541-728-8281
Mailing Address - Fax:
Practice Address - Street 1:131 NW HAWTHORNE AVE STE 211
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2958
Practice Address - Country:US
Practice Address - Phone:971-261-0965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR6689101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor