Organization
VALLEY PROFESSIONAL COUNSELING, INC.
Active
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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