Individual
LELANIA KETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 SALEM DALLAS HWY NW, SALEM, OR 97304-3338
(503) 991-5091
(503) 990-6828
Mailing address
4400 SALEM DALLAS HWY NW, SALEM, OR 97304-3338
(503) 991-5091
(503) 990-6828
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
373213H
WA
101YS0200X
School Counselor
Primary
521303
OR
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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