person
Sue Leslie Waite, LCSW
Mental Health Counselor in Roseburg, Oregon
NPI 1649382623

Sue Leslie Waite is a Mental Health Counselor based in Roseburg, OR and is specialized in Mental Health. Sue Leslie Waite practices in Roseburg, OR and has the professional credentials of LCSW. The NPI Number for Sue Leslie Waite is 1649382623 and holds a License No. 1135 (Oregon).

The current practice location address for Sue Leslie Waite is 270 Se Pine St, Roseburg, OR and can be reached out via phone at 541-672-5100 and via fax at 541-672-5100. You can also correspond with Sue Leslie Waite through the mailing address at 270 SE PINE ST, ROSEBURG, OR - 97470-3130 (mailing address contact number: 541-672-5100).

Location: 270 Se Pine St, Roseburg, OR, 97470-3130
person
Provider Profile Details
NPI Number
1649382623
Provider Name
Sue Leslie Waite
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
270 Se Pine St, Roseburg, OR, 97470-3130
Phone Number
541-672-5100
Fax Number
541-672-5100
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
270 Se Pine St
City
State
Zip
97470-3130
Phone Number
541-672-5100
Fax Number
541-672-5100
person
Provider Business Mailing Address Details
Address
270 Se Pine St
City
State
Zip
97470-3130
Phone Number
541-672-5100
Fax Number
541-672-5100
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1135 (Oregon)
Definition
Definition to come...
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