Individual
BRYAN H HODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
355 MILLER ST SE, SALEM, OR 97302-4247
(503) 999-2510
Mailing address
355 MILLER ST SE, SALEM, OR 97302-4247
(503) 508-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6406
OR
Other
Enumeration date
02/22/2012
Last updated
03/02/2022
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