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NPI Code Detail

MEDICARE: MARILYN DARLENE MEEKER MS, CRC, QMHP

MEDICARE: MARILYN DARLENE MEEKER MS, CRC, QMHP
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588728695
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN DARLENE MEEKER MS, CRC, QMHP
Provider Business Mailing Address
First Line : 1185 LITTLE JOHN LOOP NW
Second Line :
City : SALEM
State : OR
Zip : 97304-3449
Country : US
Telephone Number : 503-375-8414
Fax Number :
Provider Business Practice Location Address
First Line : 3180 CENTER ST NE
Second Line :
City : SALEM
State : OR
Zip : 97301-4532
Country : US
Telephone Number : 503-585-5351
Fax Number : 503-585-4908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 07/08/2007

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