Individual
DENA LYNN DEMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1644 CARNAHAN DR, GRANTS PASS, OR 97527-4724
(541) 471-6363
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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