Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyrstin Liv Gannon

Individual provider Mental Health Counselor · NPI 1790670214

Kyrstin Liv Gannon is a Mental Health Counselor in Roseburg, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

545 W Umpqua St
Roseburg, OR 97471-2979
Phone: (541) 900-1506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1790670214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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