Dawson, Traci L

Dawson, Traci L is an individual health care provider with primary practice located at 627 Ne Evans St , Mcminnville OR 97128. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Dawson, Traci L can be contacted via phone (503) 693-3104.

Contact Information

Primary practice address
627 Ne Evans St Mcminnville OR 97128
Phone: (503) 693-3104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1154651552
LBN Legal business name Dawson, Traci L
Credentials LPC, CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2010
Last updated Feb 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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