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Individual

MS. COLLEEN LOU WORRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
500 WASHINGTON ST, THE DALLES, OR 97058-2217
(541) 993-2789
Mailing address
500 WASHINGTON ST, THE DALLES, OR 97058-2217
(541) 993-2789

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R2800
OR

Other

Enumeration date
10/15/2015
Last updated
10/15/2015
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