Provider Demographics
NPI:1144580176
Name:COUNSELING AND CONSULTATION SERVICES OF SALEM, LLC
Entity Type:Organization
Organization Name:COUNSELING AND CONSULTATION SERVICES OF SALEM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIGER MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, CADC III
Authorized Official - Phone:541-760-0487
Mailing Address - Street 1:495 STATE ST STE 340
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4384
Mailing Address - Country:US
Mailing Address - Phone:541-760-0487
Mailing Address - Fax:503-365-0582
Practice Address - Street 1:495 STATE ST STE 340
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4384
Practice Address - Country:US
Practice Address - Phone:541-760-0487
Practice Address - Fax:503-365-0582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR05-11-10O101YA0400X
ORT0698106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty