Individual
MS. ANNALISA J DECINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1061 NE AVERY ST, STE B, NEWPORT, OR 97365-3038
(541) 264-6017
Mailing address
561 W OLIVE ST, NEWPORT, OR 97365-3720
(541) 264-6017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2553
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500673832
—
OR
Enumeration date
12/13/2006
Last updated
02/26/2016
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