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Individual

CYNDY C. CARMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC

Contact information

Practice address
799 LONG ST, SWEET HOME, OR 97386-3304
(541) 967-3866
(541) 812-8807
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 812-8807

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
C4696
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500686763
OR
Enumeration date
04/13/2015
Last updated
10/24/2023
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