Mia Phae
Mia Phae is a Mental Health Counselor in Pendleton, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2575 Westgate Bldg 3Pendleton, OR 97801-9613
Phone: (541) 276-6330
Fax: (541) 276-6295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1962039602 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 24, 2020 |
| Last updated in NPPES | March 24, 2020 |
| Certification date | March 24, 2020 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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Elizabeth Anne Pearson, MSW
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Toni Perlot
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Debora Peterson
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Rosanna Corona Post, QMHA
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Brooklyn Quaempts
2575 Westgate Bldg 3, Pendleton, OR 97801-9613 · (541) 276-6330
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Orkesia M Randle
2575 Westgate Bldg 3, Pendleton, OR 97801-9613 · (541) 276-6330
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Kyle Raymond
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