Individual
MONIQUE COUNCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
311 SW 2ND ST # 2214, CORVALLIS, OR 97333-4631
(971) 710-9710
Mailing address
PO BOX 2214, CORVALLIS, OR 97339-2214
(971) 710-9710
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22198
OR
Other
Enumeration date
03/13/2018
Last updated
07/08/2023
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