Individual
AMANDA DIMMEN-KLENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
88267 N TERRITORIAL HWY, VENETA, OR 97487-9499
(541) 731-4471
Mailing address
20 E 13TH AVE, EUGENE, OR 97401-3535
(541) 484-4428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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