Individual
ELIZABETH VAN DRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
149 N MAIN STREET, PHOENIX, OR 97535
(541) 535-4133
Mailing address
860 IVERN DR, CENTRAL POINT, OR 97502-3621
(541) 944-1391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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