Amy George

Individual provider Active NPI Mental Health Counselor · Heppner, OR

NPI 1164822326 · NPPES record last updated Aug 25, 2014

Key facts

NPI
1164822326
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
120 S Main St
Heppner, OR 97836-2033
Phone
(541) 676-9161
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

120 S Main St
Heppner, OR 97836-2033

Mailing address

120 S Main St
Heppner, OR 97836-2033
Phone (541) 676-9161

Other providers in Heppner, OR

All providers in Heppner, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.