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Individual

CORINNA LEONA ZIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1856 GRAND PRAIRIE RD., ALBANY, OR 97322-9732
(541) 967-6597
(541) 687-9279
Mailing address
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401-7900

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101YA0400X
OREGON
OR
05
101YA0400X
OR
Enumeration date
06/13/2017
Last updated
10/09/2024
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