Organization
LISA BITIKOFER, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN BITIKOFER LCSW (THERAPIST, OWNER)
(503) 910-4011
Entity
Organization
Contact information
Practice address
145 WILSON ST S, SALEM, OR 97302-4232
(503) 910-4011
(503) 588-8467
Mailing address
145 WILSON ST S, SALEM, OR 97302-4232
(503) 910-4011
(503) 588-8467
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L3363
OR
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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