Provider Demographics
NPI:1164656484
Name:GARVER, SANDRA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:L
Last Name:GARVER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29262 ROBISON RD
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:OR
Mailing Address - Zip Code:97361-8600
Mailing Address - Country:US
Mailing Address - Phone:503-686-3989
Mailing Address - Fax:503-686-3989
Practice Address - Street 1:445 3RD AVE SW STE 206
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-2272
Practice Address - Country:US
Practice Address - Phone:503-686-3989
Practice Address - Fax:503-686-3989
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional