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Individual

DEBRA CARRIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
408 SW MONROE AVE, SUITE M210F, CORVALLIS, OR 97333-7210
(541) 754-0070
Mailing address
408 SW MONROE AVE, SUITE 210F, CORVALLIS, OR 97333-7202
(541) 754-0070

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C1275
OR
103T00000X
Psychologist
Primary
2136
OR

Other

Enumeration date
01/31/2007
Last updated
05/04/2011
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