Individual
MRS. NEDA LYNNE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
385 TAYLOR ST NE, SALEM, OR 97301-8340
(503) 540-0288
Mailing address
385 TAYLOR ST NE, SALEM, OR 97301-8340
(503) 540-0288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1368
OR
101YP2500X
Professional Counselor
Primary
C1368
OR
Other
Enumeration date
06/24/2005
Last updated
01/05/2023
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