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Organization

MID VALLEY COUNSELING CENTER INC

Active
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Organization

MID VALLEY COUNSELING CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH A SWANSON PSYD (SECRETARY/TREASURER OF MVCC)
(503) 364-6093
Entity
Organization

Contact information

Practice address
2250 D ST NE, SALEM, OR 97301-2768
(503) 364-6093
(503) 364-5121
Mailing address
2250 D ST NE, SALEM, OR 97301-2768
(503) 364-6093
(503) 364-5121

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
12/13/2007
Last updated
07/02/2024
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