Individual
NICKIE FRISCH-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 S MAIN ST, LEBANON, OR 97355-3109
(541) 451-5932
(541) 258-5704
Mailing address
1600 S MAIN ST, LEBANON, OR 97355-3109
(541) 451-5930
(541) 258-5704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L2587
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197749
—
OR
Enumeration date
03/02/2007
Last updated
10/14/2014
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