Doctor Name: | MR. VIC L DULL |
NPI Number: | 1326261033 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | COUNSELOR I |
License Number: | 014638 |
Business Practice Address: | 3750 Chemawa Rd Ne Chemawa Indian Health Center Western Oregon Service Uni Salem, OR - 973051119 |
Business Phone Number: | 5033047600 |
Business Fax Number: | 5033047678 |
Mailing Address: | 3750 Chemawa Rd Ne, SALEM |
State: | OR |
Postal Code: | 973051119 |
Phone Number: | 5033047600 |
Fax Number: | 5033047678 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 014638 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |