Individual
KYLE DOLMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 750-1112
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 750-1112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/06/2012
Last updated
12/30/2024
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