Individual
ELLEN JEAN HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4909 S COAST HWY, SUITE 1, SOUTH BEACH, OR 97366-9648
(541) 574-5960
(541) 265-0601
Mailing address
36 SW NYE ST, LINCOLN COUNTY HEALTH AND HUMAN SERVICES, NEWPORT, OR 97365
(541) 574-5960
(541) 265-0601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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