Individual
DENISE CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1645 LIBERTY ST SE, SUITE 3, SALEM, OR 97302-4347
(503) 784-6232
Mailing address
1645 LIBERTY ST SE, SUITE 3, SALEM, OR 97302-4347
(503) 784-6232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2963
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500686699
—
OR
Enumeration date
10/16/2012
Last updated
10/06/2016
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