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Individual

SAFAA A ELNOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
3005 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470-3609
(541) 440-3532
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(541) 440-3554

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
123892
IA
101YP2500X
Professional Counselor
Primary
6451023431
MI

Other

Enumeration date
11/04/2019
Last updated
04/03/2026
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