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Desiree Marie-wilson Macy
Mental Health Counselor in Baker City, Oregon
NPI 1235826660

Desiree Marie-wilson Macy is a Mental Health Counselor based in Baker City, OR and is specialized in Mental Health. Desiree Marie-wilson Macy practices in Baker City, OR. The NPI Number for Desiree Marie-wilson Macy is 1235826660 and holds a License No. QMHPVARIANCE (Oregon).

The current practice location address for Desiree Marie-wilson Macy is 3425 13Th St, Baker City, OR and can be reached out via phone at 541-523-7400 and via fax at 541-523-4927.

Location: 3425 13Th St, Baker City, OR, 97814-1340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235826660
Provider Name
Desiree Marie-wilson Macy
Credential
Provider Entity Type
Individual
Gender
Female
Address
3425 13Th St, Baker City, OR, 97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6775055 01 OR ODL
institution
Provider Business Practice Location Address Details
Address
3425 13Th St
City
Baker City
State
Oregon
Zip
97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
person
Provider Business Mailing Address Details
Address
3425 13Th St
City
Baker City
State
Oregon
Zip
97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
QMHPVARIANCE (Oregon)
Definition
Definition to come...
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