Individual
ALISON CANINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 767-4233
Mailing address
PO BOX 5, COTTAGE GROVE, OR 97424-0001
(541) 942-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4872
OR
Other
Enumeration date
05/28/2015
Last updated
05/04/2018
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