Individual
DAWN STAR BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMTCB, ARRT (R)(NM)
Contact information
Practice address
388 STATE ST STE 1100, SALEM, OR 97301-3538
(503) 739-2314
Mailing address
388 STATE ST STE 1100, SALEM, OR 97301-3538
(503) 739-2314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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