Individual provider · Type 1 NPI

Tina Kathleen Dumonceaux

Mental Health Counselor · Mcminnville, OR

NPI number 1538508403 Active

Practice location

420 NE 5th St
Mcminnville, OR 97128-4603

Mailing address

1824 SW Troy St
Portland, OR 97219-2749

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1538508403

Tina Kathleen Dumonceaux's National Provider Identifier is 1538508403, issued on Jun 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Jun 24, 2013.