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Organization
MICHELLE HAYES LCSW, LLC
Active
Organization
MICHELLE HAYES LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HAYES (OWNER)
(541) 738-2470
Entity
Organization
Contact information
Practice address
891 NW GRANT AVE, CORVALLIS, OR 97330-4539
(541) 738-2470
Mailing address
2203 NW 12TH ST, CORVALLIS, OR 97330-1459
(541) 738-2470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
14-10-05
OR
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L7312
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437403078
—
OR
Enumeration date
12/26/2017
Last updated
12/26/2017
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