GINA LISIECKI

SILVERTON, OR
NPI1518414903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: OR  C4232)
Enumeration Date2016-09-02
Last Update Date2024-06-24
Business Address
GINA LISIECKI LPC
393 PHELPS MOUNTAIN LN SE
SILVERTON, OR 97381-9668
Phone number: 971-273-8710
Mailing Address
GINA LISIECKI LPC
PO BOX 1095
SILVERTON, OR 97381-0027
Phone number: 971-273-8710