Athena Marie Dickau M.A.

NPI 1497990626 - Counselor - 101YA0400X

NPI Details
NPI 1497990626
Gender Female
Enumeration Date 12/02/2008
Last Updated 05/29/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
3034 NE MLK JR BLVD
PORTLAND OR, 97212-3053, US
Phone (503) 889-8251
Fax
Business Location
3034 NE MLK JR BLVD
PORTLAND OR, 97212-3053, US
Phone (503) 889-8251
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mrs. Athena Marie Dickau M.A. NPI is 1497990626, taxonomy code is 101YA0400X Athena Marie Dickau M.A. physically located at 3034 Ne Mlk Jr Blvd, Portland OR, 97212-3053. NPI Number Athena Marie Dickau M.A. has the Individual type.

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1497990626 NPI number is provided on an as is basis without warranty of any kind. 1497990626 is maintained by the National Plan & Provider Enumeration System. The contents of Athena Marie Dickau M.A. are for informational purposes only.