Individual
LARISSA YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
850 SW 7TH ST, REDMOND, OR 97756-2751
(541) 848-1934
Mailing address
PO BOX 432, REDMOND, OR 97756-0085
(541) 848-1934
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3186
OR
Other
Enumeration date
04/25/2008
Last updated
12/12/2014
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