Individual
ERICA LAUREL MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 PORTLAND RD NE STE 120, SALEM, OR 97301-0529
(503) 390-2600
Mailing address
3737 PORTLAND RD NE, SALEM, OR 97301-0311
(503) 390-2600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
10/27/2023
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