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Individual

KATIE GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3180 CENTER ST NE STE 3360, SALEM, OR 97301
(503) 588-5351
(503) 361-2664
Mailing address
PO BOX 523, DONALD, OR 97020-0523
(541) 217-1600
(503) 361-2664

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
L7883
OR

Other

Enumeration date
11/08/2013
Last updated
01/14/2019
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