Individual
MRS. KRISTEN HOSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCSOT, BCBA
Contact information
Practice address
2260 JUDSON ST SE, SALEM, OR 97302-1273
(503) 758-2975
Mailing address
7955 S MARK RD, CANBY, OR 97013-9524
(503) 758-2975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
STB- T-10129963
OR
103K00000X
Behavior Analyst
Primary
ABAB10174694
OR
Other
Enumeration date
12/11/2012
Last updated
03/07/2016
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