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Sara A Koyano, QMHP-R,CADC-R
Mental Health Counselor in Roseburg, Oregon
NPI 1336772417

Sara A Koyano is a Mental Health Counselor based in Roseburg, OR and is specialized in Mental Health. Sara A Koyano practices in Roseburg, OR and has the professional credentials of QMHP-R,CADC-R. The NPI Number for Sara A Koyano is 1336772417 and holds a License No. T-21-1068 (Oregon).

The current practice location address for Sara A Koyano is 3099 Ne Diamond Lake Blvd, Roseburg, OR and can be reached out via phone at 541-673-3469.

Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR, 97470-0254
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Provider Profile Details
NPI Number
1336772417
Provider Name
Sara A Koyano
Credential
QMHP-R,CADC-R
Provider Entity Type
Individual
Gender
Female
Address
3099 Ne Diamond Lake Blvd, Roseburg, OR, 97470-0254
Phone Number
541-673-3469
Fax Number
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500776784 05 OR
institution
Provider Business Practice Location Address Details
Address
3099 Ne Diamond Lake Blvd
City
State
Zip
97470-3655
Phone Number
541-673-3469
Fax Number
person
Provider Business Mailing Address Details
Address
3099 Ne Diamond Lake Blvd
City
State
Zip
97470-3655
Phone Number
541-673-3469
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20-QMHP-R-0193 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
T-21-1068 (Oregon)
Definition
Definition to come...
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