Individual provider · Type 1 NPI

Jill/ Ellen Conrad, M.A., L.M.F.T

Marriage & Family Therapist · Salem, OR

NPI number 1174825855 Active

Practice location

1300 Broadway St. NE, Ste # 409
Salem, OR 97301-9730

Mailing address

1300 Broadway Street NE Suite #409
Salem, OR 97301

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XT0731 (OR)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1174825855

Jill/ Ellen Conrad, M.A., L.M.F.T's National Provider Identifier is 1174825855, issued on Dec 1, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Salem, OR. The record was last updated on Dec 1, 2010.