person
Dorothy R De La Rosa, CDACII
Addiction (Substance Use Disorder) Counselor in Grand Ronde, Oregon
NPI 1659863215

Dorothy R De La Rosa is an Addiction (Substance Use Disorder) Counselor based in Grand Ronde, OR and is specialized in Addiction (Substance Use Disorder). Dorothy R De La Rosa practices in Grand Ronde, OR and has the professional credentials of CDACII. The NPI Number for Dorothy R De La Rosa is 1659863215 and holds a License No. 21-03-20041 (Oregon).

The current practice location address for Dorothy R De La Rosa is 9605 Grand Ronde Rd, Grand Ronde, OR and can be reached out via phone at 503-879-2060 and via fax at 503-879-2071.

Location: 9605 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
person
Provider Profile Details
NPI Number
1659863215
Provider Name
Dorothy R De La Rosa
Credential
CDACII
Provider Entity Type
Individual
Gender
Female
Address
9605 Grand Ronde Rd, Grand Ronde, OR, 97347-9712
Phone Number
503-879-2060
Fax Number
503-879-2071
Provider Enumeration Date
05/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500764712 05 OR
institution
Provider Business Practice Location Address Details
Address
9605 Grand Ronde Rd
City
State
Zip
97347-9712
Phone Number
503-879-2060
Fax Number
503-879-2071
person
Provider Business Mailing Address Details
Address
9605 Grand Ronde Rd
City
State
Zip
97347-9712
Phone Number
503-879-2060
Fax Number
503-879-2071
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
21-03-20041 (Oregon)
Definition
Definition to come...
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