Individual
CORY ALAN BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 HIGH ST SE, SALEM, OR 97301-3613
(541) 570-0792
Mailing address
355 HIGH ST SE, SALEM, OR 97301-3613
(541) 570-0792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
07/27/2020
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