Organization
DANIEL DIRK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DIRK LMFT (SOLE PROPTERTOR)
(541) 450-0493
Entity
Organization
Contact information
Practice address
777 NE 7TH ST STE 107, GRANTS PASS, OR 97526-1632
(541) 450-0493
Mailing address
320 SW L ST, GRANTS PASS, OR 97526-2928
(541) 450-0493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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