Individual
REYNA MARIA MEJINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1966 WALLACE RD NW UNIT 312, SALEM, OR 97304-2285
(661) 575-5083
Mailing address
1966 WALLACE RD NW UNIT 312, SALEM, OR 97304-2285
(661) 575-5083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132600
—
OR
Enumeration date
05/26/2021
Last updated
05/26/2021
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