Individual
MARLENE MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
377 WEST WATER ST, STAYTON, OR 97383-4018
(503) 979-4655
(503) 967-3052
Mailing address
377 W WATER ST, STAYTON, OR 97383-2231
(503) 979-4655
(503) 767-3052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7118
OR
Other
Enumeration date
04/07/2007
Last updated
08/22/2023
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