| Valley Professional Counseling Inc | |
|
750 Hawthorne Ave Ne Salem OR 97301-4675 | |
| (503) 370-9200 | |
| (503) 370-9210 |
| Full Name | Valley Professional Counseling Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 750 Hawthorne Ave Ne, Salem, Oregon |
| Authorized Official Name and Position | Eric Samuel Davis (DIRECTOR) |
| Authorized Official Contact | 5033709200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Professional Counseling Inc 750 Hawthorne Ave Ne Salem OR 97301-4675 Ph: (503) 370-9200 | Valley Professional Counseling Inc 750 Hawthorne Ave Ne Salem OR 97301-4675 Ph: (503) 370-9200 |
| NPI Number | 1063525087 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063525087 | NPI | - | NPPES |
| 279 | Other | OR | ALCOHOL/OUTPATIENT |
| 028317 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 279 (Oregon) | Primary |
| 251S00000X | Community/behavioral Health | (Oregon) | Primary |
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