Individual
SHAYE DICKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SW FRAZER AVE STE 282, PENDLETON, OR 97801-0048
(541) 278-6330
(541) 278-5419
Mailing address
1100 K AVE, LA GRANDE, OR 97850-2131
(541) 962-8800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/12/2008
Last updated
03/13/2019
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