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NPI Code Detail

MEDICARE: QUIDDITY COUNSELING

MEDICARE: QUIDDITY COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1073216578
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUIDDITY COUNSELING
Provider Business Mailing Address
First Line : 355 MILLER ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-4247
Country : US
Telephone Number : 971-719-8132
Fax Number :
Provider Business Practice Location Address
First Line : 355 MILLER ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-4247
Country : US
Telephone Number : 971-719-8132
Fax Number :
Authorized Official
Title or Position : BUSINESS OWNER
Name : ANITA JOY HUFFAKER ETHELL
Credential :
Telephone Number : 971-719-8132
Provider Enumeration Date : 03/23/2023
Last Update Date : 05/08/2023

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1124841580 — KORI CHANCELLOR COUNSELING
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Directions to “QUIDDITY COUNSELING ” Practice Location

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