Individual
MRS. DANICA JEANNE LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 HIGH ST SE STE 232, SALEM, OR 97301-3620
(541) 818-0009
Mailing address
4090 BECK AVE SE, SALEM, OR 97317-5617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9431
OR
225700000X
Massage Therapist
19542
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2017
Last updated
06/27/2024
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