Individual
DOVIE A DESIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADCII
Contact information
Practice address
2700 STEWART PARKWAY, ANNEX B, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554
Mailing address
1600 NW GARDEN VALLEY BLVD, SUITE 110, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC 951010
OR
101YM0800X
Mental Health Counselor
—
OR
1041C0700X
Clinical Social Worker
Primary
L5218
OR
Other
Enumeration date
03/14/2007
Last updated
12/31/2015
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