| Willamette Valley Mental Health, Llc | |
|
161 High St Se Suite 230 Salem OR 97301-3660 | |
| (971) 263-7442 | |
| Not Available |
| Full Name | Willamette Valley Mental Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 161 High St Se, Salem, Oregon |
| Authorized Official Name and Position | Gaedin Ann Keller (OWNER) |
| Authorized Official Contact | 9712637442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willamette Valley Mental Health, Llc 161 High St Se Suite 230 Salem OR 97301-3660 Ph: (971) 263-7442 | Willamette Valley Mental Health, Llc 161 High St Se Suite 230 Salem OR 97301-3660 Ph: (971) 263-7442 |
| NPI Number | 1326471376 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326471376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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