Individual provider · Type 1 NPI

Alicia Pruitt

Mental Health Counselor · Salem, OR

NPI number 1790298099 Active

Practice location

2355 State St Ste 101
Salem, OR 97301-4541

Call (541) 203-3867 Map

Mailing address

1292 High St Unit A3034
Eugene, OR 97401-3238

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XL10934 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1790298099

Alicia Pruitt's National Provider Identifier is 1790298099, issued on Nov 8, 2017. 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 14, 2023.