Provider Demographics
NPI:1598237661
Name:SITES, DENA (LCSW, CHC)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:
Last Name:SITES
Suffix:
Gender:F
Credentials:LCSW, CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 CREEKVIEW LANE
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058
Mailing Address - Country:US
Mailing Address - Phone:541-806-3535
Mailing Address - Fax:
Practice Address - Street 1:711 CREEK VIEW LN
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-1374
Practice Address - Country:US
Practice Address - Phone:541-806-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-29
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL73321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical