Individual
DELAINE KATHRYN DUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LPC
Contact information
Practice address
459 WILLOW ST, ASHLAND, OR 97520-1133
(541) 499-5214
Mailing address
PO BOX 904, ASHLAND, OR 97520-0031
(541) 499-5214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4275
OR
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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