Individual
LINDA JEAN WEISENSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 370-8990
Mailing address
11905 BURBANK RD, MONMOUTH, OR 97361-9550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2583
OR
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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