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Individual

CHRISTOPHER BLAINE SIEGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW,QMHP

Contact information

Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
Mailing address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
3350
OR
106H00000X
Marriage & Family Therapist

Other

Enumeration date
03/08/2007
Last updated
08/07/2015
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