Individual
EMMA DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 672-2691
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
B-10219070
OR
106S00000X
Behavior Technician
17-32395
CA
Other
Enumeration date
03/08/2018
Last updated
07/17/2023
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