Individual
JANIS VERCOUTERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,
Contact information
Practice address
565 UNION ST NE STE 105, SALEM, OR 97301-2416
(503) 316-6770
Mailing address
4297 WEATHERS ST NE, SALEM, OR 97301-1979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C2423
OR
101YP2500X
Professional Counselor
Primary
C2423
OR
Other
Enumeration date
05/21/2007
Last updated
01/20/2022
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