Provider Demographics
NPI:1750778874
Name:DOLCE, FABRICE (CADC II)
Entity type:Individual
Prefix:MR
First Name:FABRICE
Middle Name:
Last Name:DOLCE
Suffix:
Gender:M
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 MAIN ST
Mailing Address - Street 2:SUITE 409
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-5831
Mailing Address - Country:US
Mailing Address - Phone:541-884-6004
Mailing Address - Fax:541-273-0813
Practice Address - Street 1:905 MAIN ST
Practice Address - Street 2:SUITE 409
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-5831
Practice Address - Country:US
Practice Address - Phone:541-884-6004
Practice Address - Fax:541-273-0813
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11-12-78101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)