Individual
TINA DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1181 SW RAMSEY AVE, GRANTS PASS, OR 97527-5835
(541) 476-2373
Mailing address
1215 SW G. STREET, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4941
OR
101YP2500X
Professional Counselor
P0611064
AR
Other
Enumeration date
02/26/2007
Last updated
10/11/2024
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