Individual
JENNA LEANN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CADC I
Contact information
Practice address
2651 COMMERCIAL ST SE STE 1, SALEM, OR 97302-4872
(503) 587-9937
(503) 994-8049
Mailing address
212 ARLENE AVE SE, SALEM, OR 97302-4939
(541) 948-7054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R3309
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
13-12-23
OR
101YP2500X
Professional Counselor
Primary
C4589
OR
Other
Enumeration date
03/19/2012
Last updated
12/27/2021
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