Organization
VALLEY PROFESSIONAL COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DAVIS MSW, CADC III, MAC (PROGRAM DIRECTOR)
(503) 370-9200
Entity
Organization
Contact information
Practice address
742 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 370-9200
(503) 370-9210
Mailing address
742 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 370-9200
(503) 370-9210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CO492
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028317
—
OR
Enumeration date
10/30/2008
Last updated
10/30/2008
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