Provider Demographics
NPI:1407431653
Name:SAUNDERS, CATHERINE MARY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARY
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 ELM STREET
Mailing Address - Street 2:CANBY CLINIC, 113 N. ELM ST.
Mailing Address - City:CANBY
Mailing Address - State:OR
Mailing Address - Zip Code:97013
Mailing Address - Country:US
Mailing Address - Phone:503-263-8903
Mailing Address - Fax:
Practice Address - Street 1:CANBY CLINIC
Practice Address - Street 2:113 ELM STREET
Practice Address - City:CANBY
Practice Address - State:OR
Practice Address - Zip Code:97013-9701
Practice Address - Country:US
Practice Address - Phone:503-263-8903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5999101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional