Individual provider · Type 1 NPI

Kimberly Dyball

Mental Health Counselor · Grants Pass, OR

NPI number 1780458968 Active

Practice location

1920 SW Kurtz Ln
Grants Pass, OR 97526-2803

Fax (541) 295-3074

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780458968

Kimberly Dyball's National Provider Identifier is 1780458968, issued on Nov 8, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Nov 8, 2023.