William Dahl, QMHA

Individual provider Active NPI Mental Health Counselor · Hines, OR

NPI 1922474584 · NPPES record last updated Aug 18, 2015

Key facts

NPI
1922474584
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
120 S Roanoke Ave
Hines, OR 97738-2576
Phone
(541) 573-1780
Fax
(541) 573-1781
NPI assigned
Aug 18, 2015
Sex
Male
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 Roanoke Ave
Hines, OR 97738-2576

Mailing address

348 W Adams St
Burns, OR 97720-1710
Phone (541) 573-8376

Other names

  • Bill Dahl Other name

Other providers in Hines, OR

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

Sources for this page

Verify at the official NPI Registry.