Individual
MS. CONNIE LYNN KUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., QMHP
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 566-2940
Mailing address
955 HARRIS ST SE, SALEM, OR 97302-3416
(503) 363-2388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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