| Doctor Name: | MS. MARY KAY WORKMAN |
| NPI Number: | 1023378213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.P.C. |
| License Number: | CO 499 |
| Business Practice Address: | 23721 S Day Hill Rd Estacada, OR - 970239401 |
| Business Phone Number: | 5036303668 |
| Business Fax Number: | |
| Mailing Address: | 23721 S Day Hill Rd, ESTACADA |
| State: | OR |
| Postal Code: | 970239401 |
| Phone Number: | 5036303668 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2012 |
| NPI Last Update Date: | 05/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | CO 499 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |