Individual
MS. AMY JO DOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCHES QMHA-I CDCES
Contact information
Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
(541) 573-8378
Mailing address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
(541) 573-8378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19-QMHA-I-02398
OR
132700000X
Dietary Manager
226395
—
136A00000X
Registered Dietetic Technician
Primary
1050243
—
172V00000X
Community Health Worker
—
OR
174H00000X
Health Educator
12674
—
Other
Enumeration date
01/02/2018
Last updated
04/07/2020
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