Sutherland, Mary Alisa

Sutherland, Mary Alisa is an individual health care provider with primary practice located at 3949 S 6Th St , Klamath Falls OR 97603-4746. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sutherland, Mary Alisa can be contacted via phone (800) 552-6290.

Contact Information

Primary practice address
3949 S 6Th St Klamath Falls OR 97603-4746
Fax: (541) 880-0560
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C-6446 Ohio

Profile Details

NPI number 1639179302
LBN Legal business name Sutherland, Mary Alisa
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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