Individual
BRYANA NOEL MAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
565 UNION ST NE STE 100, SALEM, OR 97301-2416
(971) 719-2440
Mailing address
274 SE KINGWOOD AVE APT 1, MILL CITY, OR 97360-2611
(760) 900-8690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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