# MS. AMY JO DOBSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215444039
- **Gender:** F
- **Credential:** MCHES QMHA-I CDCES

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 19-QMHA-I-02398 | OR | — |
| 132700000X | Dietary Manager | 226395 | NULL | — |
| 136A00000X | Registered Dietetic Technician | 1050243 | NULL | Yes |
| 172V00000X | Community Health Worker | — | OR | — |
| 174H00000X | Health Educator | 12674 | NULL | — |

## Other

- **Enumeration date:** 01/02/2018
- **Last updated:** 04/07/2020