Individual
ILDIKO M OVERBAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 SW MADISON AVE STE 204, CORVALLIS, OR 97333-4590
(541) 231-5067
(888) 834-1961
Mailing address
760 SW MADISON AVE STE 204, CORVALLIS, OR 97333-4590
(541) 231-5067
(888) 834-1961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADCI 03-11-39
OR
101YP2500X
Professional Counselor
Primary
C2292
OR
Other
Enumeration date
02/26/2009
Last updated
06/12/2014
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