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PURCELL SISTO, QMHP, CADC-II

QMHP, CADC-II

Mental Health Counselor

NPI: 1972278158Individual

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

T-20-506(OR)22-05-10407(OR)

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address
565 UNION ST NE STE 105
SALEM, OR 97301

Quick Facts

NPI
1972278158
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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