Individual
MRS. AMANDA MAE EQUALL LACOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 370-8990
(503) 363-4214
Mailing address
290 MOYER LN NW, PO BOX 5193, SALEM, OR 97304-3822
(503) 370-8990
(503) 363-4214
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195164
—
OR
Enumeration date
09/12/2007
Last updated
02/26/2010
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