IndividualActive
Mary Elsethagen, LPC
NPI 1336154012 · Professional Counselor · Boardman, OR
Provider details
- NPI number
- 1336154012
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
101 Nw Boardman Ave.
Boardman, OR 97818
Phone: (541) 481-2911
Approximate (ZIP-level) locationGet directions
Mailing address
3002 S Edison Pl
Kennewick, WA 99338-2714
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2009-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.