Michole Thane, QMHA

NPI #1205301959 in Burns, Oregon

Provider Information

NPI Number: 1205301959
Entity Type: Individual
Name: Michole Thane, QMHA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: QMHA
Enumeration Date: Oct 9, 2018
Last Updated: Oct 9, 2018

Practice Location

Address: 348 W ADAMS ST
City: Burns
State: Oregon
ZIP Code: 97720-1710
Phone: (541) 573-8376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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