Individual
MS. FONDA LEE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2250 D ST NE, SALEM, OR 97301-2768
(503) 364-6093
(503) 364-5121
Mailing address
2250 D ST NE, SALEM, OR 97301-2768
(503) 364-6093
(503) 364-5121
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT39053
CA
106H00000X
Marriage & Family Therapist
Primary
T2875
OR
Other
Enumeration date
12/15/2006
Last updated
04/16/2025
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