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Individual

COLLEEN SUE WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, QMHP, LPC

Contact information

Practice address
685 NW 5TH ST, SUITE A, CORVALLIS, OR 97330-6462
(541) 234-7421
Mailing address
685 NW 5TH ST, SUITE A, CORVALLIS, OR 97330-6462
(541) 234-7421

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2457
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500631638
OR
Enumeration date
06/22/2010
Last updated
07/06/2020
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