Individual provider · Type 1 NPI

Gloria Lynne Henricks, MA

Counselor · Salem, OR

NPI number 1982714929 Active

Practice location

2400 Lancaster Dr NE
Salem, OR 97305-1221

Mailing address

2240 NW Cluster Oak Ave
Albany, OR 97321-1064

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XT0447 (OR)

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 1982714929

Gloria Lynne Henricks, MA's National Provider Identifier is 1982714929, issued on Aug 30, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.