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Individual

MARJORIE MAE LIND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC & LCP & NCC

Contact information

Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC-C1899
OR
101YP2500X
Professional Counselor
LPC C1899
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500622071
OR
Enumeration date
04/19/2007
Last updated
09/30/2024
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