Individual
CECILIA BANUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4185 SW RESEARCH WAY, CORVALLIS, OR 97333-1783
(541) 257-5500
Mailing address
4185 SW RESEARCH WAY, CORVALLIS, OR 97333-1783
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT41165
CA
106H00000X
Marriage & Family Therapist
Primary
T1100
OR
Other
Enumeration date
12/29/2014
Last updated
06/28/2023
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