Individual provider · Type 1 NPI

Evelyn Detrick, QMHP

Mental Health Counselor · Salem, OR

NPI number 1083493571 Active

Practice location

4080 Reed Rd SE Ste 150
Salem, OR 97302-1335

Fax (503) 363-4607

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083493571

Evelyn Detrick, QMHP's National Provider Identifier is 1083493571, issued on Sep 25, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Sep 25, 2023.