Individual
SELENA WHITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MS, LPC
Contact information
Practice address
3126 NW BUTTERCUP DR, CORVALLIS, OR 97330-3380
(503) 908-1550
Mailing address
3126 NW BUTTERCUP DR, CORVALLIS, OR 97330-3380
(503) 908-1550
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
C2845
OR
Other
Enumeration date
03/27/2012
Last updated
03/12/2021
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