# AMY DAHLA, LPC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amy Dahla, LPC, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427827062
- **Authorized official:** AMY DAHLA (MEMBER)
- **Authorized official phone:** (541) 363-7309

## Contact information

- **Practice address:** 2355 STATE ST STE 101, SALEM, OR 97301-4541
- **Practice address phone:** (541) 363-7309
- **Mailing address:** 1467 SISKIYOU BLVD \# 518, ASHLAND, OR 97520-2336
- **Mailing address phone:** (541) 363-7309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2023
- **Last updated:** 12/22/2023