Organization
COORDINATED COUNSELING FOR CHILDREN
Active
Other names
Victoria Wisdom-Imbach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA WISDOM-IMBACH PHD (OWNER)
(303) 946-9071
Entity
Organization
Contact information
Practice address
528 COTTAGE ST NE, SALEM, OR 97301-3811
(303) 946-9071
(267) 288-0775
Mailing address
295 CHURCH ST SE APT 305, SALEM, OR 97301-3832
(303) 946-9071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3841
OR
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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