Individual
LIZETH MONTOYA BREIDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3878 BEVERLY AVE NE, SALEM, OR 97305-1394
(503) 588-5352
Mailing address
4897 CAROLINA AVE NE, SALEM, OR 97305-3288
(541) 720-2740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
03/18/2019
Last updated
08/28/2023
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