Individual provider · Type 1 NPI

Mary M. Elsethagen, LPC

Professional Counselor · Boardman, OR

NPI number 1336154012 Active

Practice location

101 NW Boardman Ave.
Boardman, OR 97818

Call (541) 481-2911 Map

Mailing address

3002 S Edison Pl
Kennewick, WA 99338-2714

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1336154012

Mary M. Elsethagen, LPC's National Provider Identifier is 1336154012, issued on Jul 30, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boardman, OR. The record was last updated on Nov 4, 2009.