Individual
MRS. MICHELLE ALEXANDRIA GOWAN YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC INTERN
Contact information
Practice address
5119 RIVER RD N, KEIZER, OR 97303-5349
(503) 362-7487
Mailing address
365 SABRA LN NE APT 303, SALEM, OR 97301-2312
(775) 934-3093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R6913
OR
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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