Individual
MIKAYLEE DATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
880 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
Mailing address
12384 BOYNTON ST, OREGON CITY, OR 97045-6747
(503) 929-5001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OR
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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