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Audriana Petra Garcilazo
Mental Health Counselor in Heppner, Oregon
NPI 1538517081

Audriana Petra Garcilazo is a Mental Health Counselor based in Heppner, OR and is specialized in Mental Health. Audriana Petra Garcilazo practices in Heppner, OR. The NPI Number for Audriana Petra Garcilazo is 1538517081 and holds a License No. (Oregon).

The current practice location address for Audriana Petra Garcilazo is 120 S Main St, Heppner, OR and can be reached out via phone at 541-676-9161.

Location: 120 S Main St, Heppner, OR, 97836-0469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538517081
Provider Name
Audriana Petra Garcilazo
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 S Main St, Heppner, OR, 97836-0469
Phone Number
541-676-9161
Fax Number
Provider Enumeration Date
05/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 S Main St
City
Heppner
State
Oregon
Zip
97836-2033
Phone Number
541-676-9161
Fax Number
person
Provider Business Mailing Address Details
Address
120 S Main St
City
Heppner
State
Oregon
Zip
97836-2033
Phone Number
541-676-9161
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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