Individual
CONNEE LEA PETERS REAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
965 LIBERTY STREET SE, SALEM, OR 97302
(503) 588-2004
(503) 588-2415
Mailing address
9003 JACKSON HILL RD SE, SALEM, OR 97306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0340
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042577
—
OR
Enumeration date
03/26/2007
Last updated
07/08/2007
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