Individual provider · Type 1 NPI

Logan Taelor Holley

Counselor · Salem, OR

NPI number 1861056558 Active

Practice location

2645 Portland Rd NE
Salem, OR 97301-0198

Mailing address

1035 Cunningham Ln S
Salem, OR 97302-6123

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1861056558

Logan Taelor Holley's National Provider Identifier is 1861056558, issued on Apr 28, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salem, OR. The record was last updated on Apr 28, 2019.