Individual
BETSY DASENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SE LILLY AVE, CORVALLIS, OR 97333-1804
(541) 714-3559
Mailing address
810 SE LILLY AVE, CORVALLIS, OR 97333-1804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9767
OR
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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