Provider Information for 1316321185
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LAUREN SLETTA LPC
Sex: Female
NPI: 1316321185
Last Updated: 2023-07-07
Certification Date: 2023-07-07
Certification Date: 2023-07-07
Details
| Name | Value | ||||||||||||||||
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| NPI | 1316321185 | ||||||||||||||||
| Enumeration Date | 2015-07-11 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 260 SW MADISON AVE STE 104-3 CORVALLIS, OR 97333-4798 United States Phone: 541-203-3848 | Fax:541-203-3211 | ||||||||||||||||
| Primary Practice Address | 260 SW MADISON AVE STE 104-3 CORVALLIS, OR 97333-4798 United States Phone: 541-203-3848 | Fax:541-203-3211 | ||||||||||||||||
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