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Individual

MRS. DONNA KARLENE HIRT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CADC III

Contact information

Practice address
2985 RIVER RD S, ST. 5, SALEM, OR 97302-6651
(503) 365-3038
Mailing address
PO BOX 4265, SALEM, OR 97302
(503) 365-3038

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
900103
OR
1041C0700X
Clinical Social Worker
Primary
3269
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3269
LICENSE #
OR
01
900103
CERTIFICATION #
OR
Enumeration date
01/17/2007
Last updated
08/01/2014
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