Individual provider · Type 1 NPI

Estenio Eliezer Sede Eduardo

Mental Health Counselor · Mcminnville, OR

NPI number 1013694181 Active

Practice location

435 NE Evans St Ste A
Mcminnville, OR 97128-4635

Call (503) 472-4020 Map

Other practice locations

  • 1118 Oak St SE, Salem, OR 97301-4019 · (503) 585-4949

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1013694181

Estenio Eliezer Sede Eduardo's National Provider Identifier is 1013694181, issued on Jun 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Apr 9, 2024.