Individual
KERRY HAMMERSCHMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADCII, MAC
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 569-5386
Mailing address
PO BOX 5752, SALEM, OR 97304-0752
(503) 269-3834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-03-56
OR
1041C0700X
Clinical Social Worker
Primary
L6546
OR
Other
Enumeration date
03/14/2007
Last updated
09/14/2020
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