Individual
ANNA CATE STATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301
(503) 588-5351
(503) 364-6552
Mailing address
3180 CENTER ST NE, MANON COUNTY ADULT BEHAVIORAL HEALTH, SALEM, OR 97301
(503) 588-5351
(503) 364-6552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123190
—
OR
Enumeration date
09/24/2007
Last updated
12/07/2011
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