Nan Cecile Cordy, LICENSE IN PROGRESS

NPI #1912116161 in Dallas, Oregon

Provider Information

NPI Number: 1912116161
Entity Type: Individual
Name: Nan Cecile Cordy, LICENSE IN PROGRESS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LICENSE IN PROGRESS
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 211 E. ELLENDALE SUITE #7
City: Dallas
State: Oregon
ZIP Code: 97338
Phone: (503) 831-5831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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