Individual provider · Type 1 NPI

Wayne Kassebaum

Mental Health Counselor · Salem, OR

NPI number 1730946799 Active

Practice location

4385 Sunnyview Rd NE
Salem, OR 97305-1869

Call (503) 400-3340 Map

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 1730946799

Wayne Kassebaum's National Provider Identifier is 1730946799, issued on Mar 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Mar 5, 2024.