Individual
DARIA GOUSSEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 W HOOD AVE STE C, SISTERS, OR 97759-1529
(541) 872-3772
Mailing address
704 W HOOD AVE STE C, SISTERS, OR 97759-1529
(541) 872-3772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
A18237
OR
Other
Enumeration date
09/10/2024
Last updated
07/21/2026
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