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Organization
AN INNER GUIDE LLC
Active
Organization
AN INNER GUIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KA RIN KAY JOHNSON LCSW (OWNER)
(503) 580-0611
Entity
Organization
Contact information
Practice address
161 HIGH ST SE STE 204, SALEM, OR 97301-3610
(503) 749-0306
(503) 749-0343
Mailing address
161 HIGH ST SE STE 204, SALEM, OR 97301-3610
(503) 749-0306
(503) 749-0343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500688153
—
OR
Enumeration date
08/24/2022
Last updated
10/13/2022
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