Elena D Shore, LCSW

NPI #1679876163 in Creswell, Oregon

Provider Information

NPI Number
1679876163
Entity Type
Individual
Name
Elena D Shore, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Dec 6, 2010
Last Updated
Jul 3, 2014

Practice Location

Address
285 E OREGON AVE
State
Oregon
ZIP Code
97426-9160
Phone
(541) 870-1122

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical

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