Individual
SHARON S BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15002 JEFFERSON HIGHWAY 99E SE, JEFFERSON, OR 97352-9682
(541) 666-8820
Mailing address
745 LONG ST, SWEET HOME, OR 97386-3304
(541) 401-2093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7573
OR
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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