Individual
DANIELLE VIJIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, SUDP, LPC
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(509) 879-4576
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(509) 879-4576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60245583
WA
101YM0800X
Mental Health Counselor
Primary
C5642
OR
101YM0800X
Mental Health Counselor
LH60445115
WA
Other
Enumeration date
02/04/2014
Last updated
06/27/2024
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