person
Enrique Carranza, MA
Mental Health Counselor in The Dalles, Oregon
NPI 1992249841

Enrique Carranza is a Mental Health Counselor based in The Dalles, OR and is specialized in Mental Health. Enrique Carranza practices in The Dalles, OR and has the professional credentials of MA. The NPI Number for Enrique Carranza is 1992249841 and holds a License No. IMF96134 (Oregon).

The current practice location address for Enrique Carranza is 1060 Webber St, The Dalles, OR and can be reached out via phone at 541-296-5452 and via fax at 541-296-5263.

Location: 1060 Webber St, The Dalles, OR, 97058-3749
person
Provider Profile Details
NPI Number
1992249841
Provider Name
Enrique Carranza
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1060 Webber St, The Dalles, OR, 97058-3749
Phone Number
541-296-5452
Fax Number
541-296-5263
Provider Enumeration Date
12/12/2016
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7184 01 CA MEDI-CAL
7667 01 CA MEDI-CAL
7708 01 CA MEDI-CAL
7368 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1060 Webber St
City
State
Zip
97058-3749
Phone Number
541-296-5452
Fax Number
541-296-5263
person
Provider Business Mailing Address Details
Address
1060 Webber St
City
State
Zip
97058-3749
Phone Number
541-296-5452
Fax Number
541-296-5263
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMF96134 (California)
Definition
Definition to come...
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