Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAILY RAE GARDNER
ActiveKAILY RAE GARDNER is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SUTHERLIN, Oregon. NPI 1588371272 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SUTHERLIN, OR
Registration Details
- NPI Number
- 1588371272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2022 (3.7594927399995 yrs)
- Last Updated
- Nov 12, 2025
Practice Information
- Address
-
352 S CALAPOOIA ST STE BSUTHERLIN, OR, 974799558Browse OR providers · Browse ZIP 97479
- Phone
- 5417995386
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Case Manager
- Additional Specialty
- Peer Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.