Individual
DIXIE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1445 8TH ST, FLORENCE, OR 97439-9351
(541) 997-6261
(541) 997-8606
Mailing address
1445 8TH ST, FLORENCE, OR 97439-9351
(541) 997-6261
(541) 997-8606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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