Individual
DR. MISHA LYNN KLERONOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD., LPC
Contact information
Practice address
700 BELLEVUE ST SE, #225, SALEM, OR 97301-3819
(971) 273-0070
Mailing address
700 BELLEVUE ST SE, #225, SALEM, OR 97301-3819
(971) 273-0070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2575
OR
Other
Enumeration date
03/29/2013
Last updated
01/22/2015
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