Individual
MS. HEATHER L CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1595 ROOSEVELT ST NE, SALEM, OR 97301
(360) 774-6067
Mailing address
1050 SUNNYVIEW RD NE, #8276, SALEM, OR 97303
(360) 774-6067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500762125
—
OR
Enumeration date
04/18/2019
Last updated
07/24/2023
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