Individual
NANA AMA HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4628
(503) 472-4020
Mailing address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4628
(503) 472-4020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/06/2017
Last updated
06/21/2023
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