Individual
ALLYCIA HALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2586 12TH PL SE, SALEM, OR 97302-2536
(503) 371-4160
Mailing address
1549 WHITAKER DR SE APT 143, SALEM, OR 97317-5967
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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