Individual
EMILY ETHERAM AZADNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(413) 773-1314
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
Other
Enumeration date
06/08/2017
Last updated
08/17/2021
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