DANA SPADE

ALBANY, OR
NPI1790234078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: OR  c5657)
Enumeration Date2016-09-27
Last Update Date2020-11-20
Business Address
DANA SPADE MA, LPC
104 4TH AVE SW ROOM 238
ALBANY, OR 97321-2804
Phone number: 541-967-3819
Mailing Address
DANA SPADE MA, LPC
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3819