Most Relevant Information
Provider Data
| NPI Number: | 1003484718 |
| Provider Name: | LYNDA RAYLENE CONLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2021 |
| Last Updated: | 06/17/2021 |
Provider Practice Location
1599 STATE ST
SALEM
OR
973014255
Practice Location Phone/Fax
| Phone: | 5033633260 |
| Fax: |
Provider Mailing Location
1255 BROADWAY ST NE APT 334
SALEM
OR
973017305
Provider Mailing Phone/Fax
| Phone: | 9713013376 |
| Fax: |