MEDICARE: CAROL DUGAN LPC I

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
1	101YP2500X	Professional Counselor		OR

General Provider Information

NPI Number	:	1922774033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL DUGAN LPC I

Provider Business Mailing Address
First Line	:	1901 ESTHER STREET
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132
Country	:	US
Telephone Number	:	503-554-4367
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 ESTHER STREET
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132
Country	:	US
Telephone Number	:	503-554-4367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	05/11/2026

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Directions to “ CAROL DUGAN LPC I” Practice Location

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