Individual
RACHEL GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II, QMHP
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 991-2210
Mailing address
PO BOX 17668, SALEM, OR 97305-7668
(503) 362-1399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-10-10
OR
101YM0800X
Mental Health Counselor
PS601
OR
171M00000X
Case Manager/Care Coordinator
—
OR
Other
Enumeration date
04/01/2014
Last updated
01/24/2019
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