Individual
MS. CLAUDIA JEAN VANGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
411 WILD FERN DR, WINCHESTER, OR 97495-8964
(541) 430-0146
Mailing address
411 WILD FERN DR, WINCHESTER, OR 97495-8964
(541) 430-0146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
142196
AK
101YP2500X
Professional Counselor
35197
MT
101YP2500X
Professional Counselor
C0966
OR
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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