Provider Demographics
NPI:1093384547
Name:GABONAY, ERIKA (LPC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GABONAY
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 1:2520 SE RYAN ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-2027
Mailing Address - Country:US
Mailing Address - Phone:541-231-3125
Mailing Address - Fax:
Practice Address - Street 1:2520 SE RYAN ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-2027
Practice Address - Country:US
Practice Address - Phone:541-231-3125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-20
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC7882101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional