Mary Alisa Sutherland, LPC
NPI #1639179302 in Klamath Falls, Oregon
Provider Information
- NPI Number
- 1639179302
- Entity Type
- Individual
- Name
- Mary Alisa Sutherland, LPC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Jul 26, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3949 S 6TH ST
- City
- Klamath Falls
- State
- Oregon
- ZIP Code
- 97603-4746
- Phone
- (800) 552-6290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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