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Ms. Carol R Mckibben, MSW
Counselor in Roseburg, Oregon
NPI 1932250560

Carol R Mckibben is a Counselor based in Roseburg, OR. Carol R Mckibben practices in Roseburg, OR and has the professional credentials of MSW. The NPI Number for Carol R Mckibben is 1932250560 and holds a License No. (Oregon).

The current practice location address for Carol R Mckibben is 621 W. Madrone St, Roseburg, OR and can be reached out via phone at 541-440-3532 and via fax at 541-440-3554.

Location: 621 W. Madrone St, Roseburg, OR, 97470-3090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932250560
Provider Name
Carol R Mckibben
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
621 W. Madrone St, Roseburg, OR, 97470-3090
Phone Number
541-440-3532
Fax Number
541-440-3554
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500660589 05 OR
institution
Provider Business Practice Location Address Details
Address
621 W. Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-440-3532
Fax Number
541-440-3554
person
Provider Business Mailing Address Details
Address
621 W. Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-440-3532
Fax Number
541-440-3554
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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