Individual
MR. SONNY SALTALAMACHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2405 FRONT ST NE, SALEM, OR 97301
(503) 504-2103
(503) 386-3273
Mailing address
PO BOX 20611, KEIZER, OR 97307-0611
(503) 507-1019
(503) 386-3273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5904
OR
Other
Enumeration date
02/07/2012
Last updated
07/12/2022
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