Individual provider · Type 1 NPI

Annie Dolle, LCSW

Mental Health Counselor · Portland, OR

NPI number 1770904237 Active

Practice location

2791 SW Montgomery Dr
Portland, OR 97201-1632

Call (503) 201-5829 Map

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5822 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1770904237

Annie Dolle, LCSW's National Provider Identifier is 1770904237, issued on Dec 30, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 25, 2015.