Individual
MARILYN A GRYTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
425 ELLSWORTH ST SW, ALBANY, OR 97321-2362
(541) 791-9164
Mailing address
425 ELLSWORTH ST SW, ALBANY, OR 97321-2362
(541) 791-9164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0907
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24384
NBCC
—
01
—
C0907
LPC
—
Enumeration date
11/14/2005
Last updated
12/28/2007
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