Individual
MRS. CONNIE LOUISE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2507 MAIN AVE N, SUITE B, TILLAMOOK, OR 97141-9297
(503) 812-9675
Mailing address
2507 MAIN AVE N, SUITE B, TILLAMOOK, OR 97141-9297
(503) 812-9675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C2624
OR
Other
Enumeration date
03/02/2007
Last updated
04/29/2011
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