Individual
SALEM DJEMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 4TH ST, BAKER CITY, OR 97814
(541) 523-3646
Mailing address
2100 MAIN ST, BAKER CITY, OR 97814-2655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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