Basic Information
| Provider Information | |||||||||
| NPI: | 1770858292 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOUMANS | ||||||||
| FirstName: | ADRIENNE | ||||||||
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| Credential: | B.A., J.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5576 RADELL DR SE | ||||||||
| Address2: | |||||||||
| City: | SALEM | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973179145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5033757671 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1245 EDGEWATER ST NW | ||||||||
| Address2: | |||||||||
| City: | SALEM | ||||||||
| State: | OR | ||||||||
| PostalCode: | 973044049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5035885816 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2012 | ||||||||
| LastUpdateDate: | 03/16/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | NONE | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.