Individual
BRANDEE KOLENE RATZLAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2001 COMMERCIAL ST SE STE 200, SALEM, OR 97302-5207
(503) 370-8050
Mailing address
1559 40TH AVE NW, SALEM, OR 97304-1501
(503) 428-6652
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R4567
OR
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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