person
Mrs. Mary M Elsethagen, LPC
Professional Counselor in Boardman, Oregon
NPI 1336154012

Mary M Elsethagen is a Professional Counselor based in Kennewick, OR and is specialized in Professional. Mary M Elsethagen practices in Boardman, OR and has the professional credentials of LPC. The NPI Number for Mary M Elsethagen is 1336154012 and holds a License No. (Oregon).

The current practice location address for Mary M Elsethagen is 101 Nw Boardman Ave., Boardman, OR and can be reached out via phone at 541-481-2911.

Location: 101 Nw Boardman Ave., Boardman, OR, 99338-2714
person
Provider Profile Details
NPI Number
1336154012
Provider Name
Mary M Elsethagen
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
101 Nw Boardman Ave., Boardman, OR, 99338-2714
Phone Number
541-481-2911
Fax Number
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C1782 01 OR LPC
institution
Provider Business Practice Location Address Details
Address
101 Nw Boardman Ave.
City
State
Zip
97818
Phone Number
541-481-2911
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nw Boardman Ave.
City
State
Zip
97818
Phone Number
541-481-2911
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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