Aisha R Redl-Sherwood
Counselor, Mental Health in Dallas, OR. Individual provider (NPI-1).
NPI number1386834331
StatusActive
Last updated in NPPESOct 6, 2016
Details
- NPI
- 1386834331
- Entity type
- Individual (NPI-1)
- Name
- Aisha R Redl-Sherwood
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2007
- Last updated
- Oct 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Other names
- Aisha R Redl (Former Name)
Practice location
182 Sw Academy St333
Dallas, OR 97338-1996
Phone 503-623-9289
Mailing address
182 Sw Academy StDallas, OR 97338-1996
Phone 503-623-9289
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