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Organization
MID-WILLAMETTE FAMILY AND INDIVIDUAL THERAPY SERVICES LLC
Active
Organization
MID-WILLAMETTE FAMILY AND INDIVIDUAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISSANDRA STEPHEN LMFT (OWNER)
(971) 575-6640
Entity
Organization
Contact information
Practice address
698 12TH ST SE STE 210, SALEM, OR 97301-4010
(971) 757-6640
Mailing address
3437 COVINGTON ST NE, SALEM, OR 97305-1507
(971) 757-6640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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