Individual provider · Type 1 NPI

Mirium Shippey

Mental Health Counselor · Salem, OR

NPI number 1306554902 Active

Practice location

4385 Sunnyview Rd NE
Salem, OR 97305-1869

Call (503) 400-3340 Map

Fax (503) 400-3339

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306554902

Mirium Shippey's National Provider Identifier is 1306554902, issued on Nov 11, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Nov 11, 2022.