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Desiree Amber Lane
Counselor in Hines, Oregon
NPI 1417325846

Desiree Amber Lane is a Counselor based in Burns, OR. Desiree Amber Lane practices in Hines, OR. The NPI Number for Desiree Amber Lane is 1417325846 and holds a License No. (Oregon).

The current practice location address for Desiree Amber Lane is 705 Highway 20 South, Hines, OR and can be reached out via phone at 541-573-7303 and via fax at 541-573-5938.

Location: 705 Highway 20 South, Hines, OR, 97720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417325846
Provider Name
Desiree Amber Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
705 Highway 20 South, Hines, OR, 97720
Phone Number
541-573-7303
Fax Number
541-573-5938
Provider Enumeration Date
09/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
705 Highway 20 South
City
Hines
State
Oregon
Zip
97738
Phone Number
541-573-7303
Fax Number
541-573-5938
person
Provider Business Mailing Address Details
Address
705 Highway 20 South
City
Hines
State
Oregon
Zip
97738
Phone Number
541-573-7303
Fax Number
541-573-5938
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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