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Individual

ELAINE KATHRYN DINWIDDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
11800 TINGLEY LN UNIT 6, KLAMATH FALLS, OR 97603-9574
(541) 363-8817
(541) 205-5397
Mailing address
11800 TINGLEY LN UNIT 6, KLAMATH FALLS, OR 97603-9574
(541) 363-8817
(541) 205-5397

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5403
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500700365
OR
Enumeration date
11/12/2015
Last updated
08/22/2024
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