Individual provider · Type 1 NPI

Khaila Jane Dahlberg

Mental Health Counselor · Pendleton, OR

NPI number 1366112112 Active

Practice location

2575 Westgate Bldg 3
Pendleton, OR 97801-9613

Fax (541) 276-6295

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366112112

Khaila Jane Dahlberg's National Provider Identifier is 1366112112, issued on Sep 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pendleton, OR. The record was last updated on Sep 14, 2021.