Individual
DAWN OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
63687 MISTY RD, COOS BAY, OR 97420-8750
(541) 944-5853
Mailing address
63687 MISTY RD STE 8, COOS BAY, OR 97420-8750
(541) 944-5853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
130332
OR
101YM0800X
Mental Health Counselor
Primary
C3819
OR
Other
Enumeration date
12/18/2014
Last updated
06/29/2024
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