Individual provider · Type 1 NPI

Shyn A. Childress

Mental Health Counselor · Salem, OR

NPI number 1205494069 Active

Practice location

2110 State St Ste 202
Salem, OR 97301-4350

Call (503) 580-9819 Map

Mailing address

4556 14th Ct S
Salem, OR 97302-2305

Other practice locations

  • 1118 Oak St SE, Salem, OR 97301-4019 · (503) 400-5744

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X22995 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205494069

Shyn A. Childress's National Provider Identifier is 1205494069, issued on Jun 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Aug 5, 2019.