person
Dana Spade, MA,LPC
Addiction (Substance Use Disorder) Counselor in Albany, Oregon
NPI 1790234078

Dana Spade is an Addiction (Substance Use Disorder) Counselor based in Albany, OR and is specialized in Addiction (Substance Use Disorder). Dana Spade practices in Albany, OR and has the professional credentials of MA,LPC. The NPI Number for Dana Spade is 1790234078 and holds a License No. C5657 (Oregon).

The current practice location address for Dana Spade is 104 4Th Ave Sw, Albany, OR and can be reached out via phone at 541-967-3819 and via fax at 541-967-7259.

Location: 104 4Th Ave Sw, Albany, OR, 97321-0031
person
Provider Profile Details
NPI Number
1790234078
Provider Name
Dana Spade
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
104 4Th Ave Sw, Albany, OR, 97321-0031
Phone Number
541-967-3819
Fax Number
541-967-7259
Provider Enumeration Date
09/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101279 05 OR
institution
Provider Business Practice Location Address Details
Address
104 4Th Ave Sw
City
State
Zip
97321-2804
Phone Number
541-967-3819
Fax Number
541-967-7259
person
Provider Business Mailing Address Details
Address
104 4Th Ave Sw
City
State
Zip
97321-2804
Phone Number
541-967-3819
Fax Number
541-967-7259
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C5657 (Oregon)
Definition
Definition to come...
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