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Individual

MS. SHERYL LYNNE WAKELING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA QMHP LPC

Contact information

Practice address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
Mailing address
2235 SW ROXBURY AVE, PORTLAND, OR 97225-5142
(503) 957-6244

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3508
OR
106H00000X
Marriage & Family Therapist

Other

Enumeration date
01/02/2007
Last updated
10/05/2014
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