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Individual

ELLEN LOUISE KATHREIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1233 EDGEWATER ST NW STE B, SALEM, OR 97304-4049
(503) 378-7526
(503) 480-1611
Mailing address
1233 EDGEWATER ST NW STE B, SALEM, OR 97304-4049
(503) 378-7526
(503) 480-1611

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PO15215
NC
1041C0700X
Clinical Social Worker
Primary
L15623
OR
1041C0700X
Clinical Social Worker
P015215
NC

Other

Enumeration date
05/20/2021
Last updated
04/24/2025
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