Individual
DALLACE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA, CADC-I, QMHA-I
Contact information
Practice address
2577 NE COURTNEY DRIVE, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DRIVE, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
09/13/2024
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