Individual
JEAN THOMPSON VANLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, LMFT
Contact information
Practice address
528 COTTAGE ST NE STE 300, SALEM, OR 97301-3788
(503) 316-9130
Mailing address
528 COTTAGE ST NE STE 300, SALEM, OR 97301-3788
(503) 316-9130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C2207
OR
106H00000X
Marriage & Family Therapist
Primary
T0626
OR
Other
Enumeration date
04/24/2007
Last updated
09/04/2013
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