Individual
VICKIE LYNN RONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
530 NW 27TH STREET, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0294
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500646722
—
OR
Enumeration date
05/08/2012
Last updated
07/11/2014
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