Most Relevant Information
Provider Data
NPI Number: | 1003051350 |
Provider Name: | SUSIE MARGARET ALIN LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | C1588 |
Most Important Dates
Enumeration Date: | 12/15/2008 |
Last Updated: | 12/15/2008 |
Provider Practice Location
707 NE 5TH ST
MCMINNVILLE
OR
971284508
Practice Location Phone/Fax
Phone: | 9712372324 |
Fax: |
Provider Mailing Location
707 E 5TH ST
HEALING ARTS CENTER
MCMINNVILLE
OR
97128
Provider Mailing Phone/Fax
Phone: | 9712372324 |
Fax: |