Individual
MS. MARY DENISE LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1111
(503) 304-7600
(503) 304-7678
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1111
(503) 304-7600
(503) 304-7678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4148
OK
Other
Enumeration date
09/16/2011
Last updated
10/16/2012
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