Individual
MERCEDES ISOBEL VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, QMHA, CADC II
Contact information
Practice address
46314 TIMINE WAY, PENDELTON, OR 97801
(541) 966-9830
(541) 240-8754
Mailing address
P.O. BOX 160, 46314 TIMINE WAY, PENDELTON, OR 97801
(541) 966-9830
(541) 240-8754
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/02/2010
Last updated
06/03/2020
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