Organization
VICKIE HANEBERG MA LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE HURST LPC (OWNER/PROVIDER)
(503) 877-8728
Entity
Organization
Contact information
Practice address
780 COMMERCIAL ST SE STE 201, SALEM, OR 97301-3463
(503) 877-8728
(503) 386-2453
Mailing address
780 COMMERCIAL ST SE STE 201, SALEM, OR 97301-3463
(503) 877-8728
(503) 386-2453
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500656590
—
OR
Enumeration date
02/10/2026
Last updated
02/10/2026
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