Individual
CHRISTA BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC, NCAC II
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
90-09-04
OR
101YM0800X
Mental Health Counselor
Primary
C3701
OR
Other
Enumeration date
01/29/2009
Last updated
05/21/2015
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