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NPI Code Detail

MEDICARE: MISS DANA ELIZABETH FEARS LPC

MEDICARE: MISS DANA ELIZABETH FEARS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorOR
2101Y00000XCounselorOR
3101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1043599418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DANA ELIZABETH FEARS LPC
Provider Business Mailing Address
First Line : 1010 5TH ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2444
Country : US
Telephone Number : 503-594-4750
Fax Number :
Provider Business Practice Location Address
First Line : 1010 5TH ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2444
Country : US
Telephone Number : 503-594-4750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2011
Last Update Date : 10/21/2025

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Directions to “ MISS DANA ELIZABETH FEARS LPC” Practice Location

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