Individual
SUSAN POLVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2184 TEAKWOOD AVE NW, SALEM, OR 97304-1346
(971) 600-8953
Mailing address
2184 TEAKWOOD AVE NW, SALEM, OR 97304-1346
(971) 600-8953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2628
OR
Other
Enumeration date
10/16/2006
Last updated
12/03/2020
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