KATRINA JEANNINE WEST

DALLAS, OR
NPI1013635408
Former NameKATRINA JEANNINE WIRTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-08-22
Last Update Date2024-10-23
Business Address
KATRINA JEANNINE WEST QMHP
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
Mailing Address
KATRINA JEANNINE WEST QMHP
1825 NE OAR AVE
LINCOLN CITY, OR 97367-3947
Phone number: 541-290-9201
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