person
Penny Layne Nicole Thornburg
Mental Health Counselor in Salem, Oregon
NPI 1295265437

Penny Layne Nicole Thornburg is a Mental Health Counselor based in Keizer, OR and is specialized in Mental Health. Penny Layne Nicole Thornburg practices in Salem, OR. The NPI Number for Penny Layne Nicole Thornburg is 1295265437 and holds a License No. (Oregon).

The current practice location address for Penny Layne Nicole Thornburg is 3737 Portland Rd Ne, Salem, OR and can be reached out via phone at 503-485-8977 and via fax at 503-485-8977.

Location: 3737 Portland Rd Ne, Salem, OR, 97307-0400
person
Provider Profile Details
NPI Number
1295265437
Provider Name
Penny Layne Nicole Thornburg
Credential
Provider Entity Type
Individual
Gender
Female
Address
3737 Portland Rd Ne, Salem, OR, 97307-0400
Phone Number
503-485-8977
Fax Number
503-485-8977
Provider Enumeration Date
06/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3737 Portland Rd Ne
City
State
Zip
97301-0311
Phone Number
503-485-8977
Fax Number
503-485-8977
person
Provider Business Mailing Address Details
Address
3737 Portland Rd Ne
City
State
Zip
97301-0311
Phone Number
503-485-8977
Fax Number
503-485-8977
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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