Provider Demographics
NPI:1942742044
Name:GESNER, TAUNYA MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:TAUNYA
Middle Name:MARIE
Last Name:GESNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TAUNYA
Other - Middle Name:MARIE
Other - Last Name:HEDBOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25500 SE STARK ST STE 202
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-8328
Mailing Address - Country:US
Mailing Address - Phone:503-504-4622
Mailing Address - Fax:
Practice Address - Street 1:25500 SE STARK ST STE 202
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-8328
Practice Address - Country:US
Practice Address - Phone:503-504-4622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR5821101YM0800X
ORC6765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health