Individual
MR. CARLOS OBED TEXIDOR MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, MAC, ACS
Contact information
Practice address
750 FRONT ST NE, SALEM, OR 97301-1089
(503) 363-2021
(503) 363-4820
Mailing address
1702 NEOTA ST NE, SALEM, OR 97301-2185
(503) 409-1906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
G 09-12-06
OR
101YM0800X
Mental Health Counselor
Primary
C7615
OR
Other
Enumeration date
01/29/2007
Last updated
02/14/2024
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