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Sophia R Dillingham, MAQMHP-R
Mental Health Counselor in Corvallis, Oregon
NPI 1174120141

Sophia R Dillingham is a Mental Health Counselor based in Corvallis, OR and is specialized in Mental Health. Sophia R Dillingham practices in Corvallis, OR and has the professional credentials of MAQMHP-R. The NPI Number for Sophia R Dillingham is 1174120141 and holds a License No. (Oregon).

The current practice location address for Sophia R Dillingham is 1650 Sw 45Th Pl, Corvallis, OR and can be reached out via phone at 541-757-8068.

Location: 1650 Sw 45Th Pl, Corvallis, OR, 97333-1768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174120141
Provider Name
Sophia R Dillingham
Credential
MAQMHP-R
Provider Entity Type
Individual
Gender
Female
Address
1650 Sw 45Th Pl, Corvallis, OR, 97333-1768
Phone Number
541-757-8068
Fax Number
Provider Enumeration Date
10/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128715 05 OR
institution
Provider Business Practice Location Address Details
Address
1650 Sw 45Th Pl
City
Corvallis
State
Oregon
Zip
97333-1768
Phone Number
541-757-8068
Fax Number
person
Provider Business Mailing Address Details
Address
1650 Sw 45Th Pl
City
Corvallis
State
Oregon
Zip
97333-1768
Phone Number
541-757-8068
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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