Crystal Rose Wiss

NPI #1265262612 in Lebanon, Oregon

Provider Information

NPI Number: 1265262612
Entity Type: Individual
Name: Crystal Rose Wiss
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 1, 2024
Last Updated: Aug 1, 2024

Practice Location

Address: 1600 S MAIN ST
City: Lebanon
State: Oregon
ZIP Code: 97355-3109
Phone: (541) 451-5932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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