Provider Demographics
NPI:1497489991
Name:HYB COUNSELING
Entity Type:Organization
Organization Name:HYB COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:SONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTALAMACHIA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-507-1019
Mailing Address - Street 1:PO BOX 20611
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97307-0611
Mailing Address - Country:US
Mailing Address - Phone:503-504-2103
Mailing Address - Fax:503-386-3273
Practice Address - Street 1:2405 FRONT ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-0775
Practice Address - Country:US
Practice Address - Phone:503-504-2103
Practice Address - Fax:503-386-3273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty