Individual
CAROL VISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
681 CENTER ST NE, SALEM, OR 97301-3722
(503) 588-5828
(503) 588-5852
Mailing address
5029 DANIEL ST S, SALEM, OR 97306-2033
(503) 581-7454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1377
OR
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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