SUSAN KHALSA-WYBORSKI
NPI 1336392984
Counselor - Addiction (Substance Use Disorder) in Albany, OR
Active since October 28, 2008
About Susan Khalsa-wyborski NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN KHALSA-WYBORSKI (NPI 1336392984) is an individual addiction (substance use disorder) provider in Albany, Oregon, licensed in Oregon (19-06-174) and active in the NPI registry since October 2008.
NPPES Registry Identity
NPI1336392984
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN KHALSA-WYBORSKI
Location Address104 4TH AVE SW RM 238Albany, OR 97321-2804
Mailing AddressPo Box 100Albany, OR 97321-0031
Phone(541) 967-3819
Sole ProprietorNo
Enumeration DateOctober 28, 2008
✔ NPI 1336392984 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 19-06-174
104 4TH AVE SW RM 238, Albany, OR 97321
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
104 4TH AVE SW RM 238
ALBANY, OR 97321
ALBANY, OR 97321
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336392984, enumerated as an "individual" on October 28, 2008.
The provider is located at 104 4TH AVE SW RM 238 ALBANY, OR 97321 and the phone number is (541) 967-3819.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).