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Organization
CHRONICLES OF SUCCESS RECOVERY SERVICES LLC
Active
Organization
CHRONICLES OF SUCCESS RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONIQUE BOAZEMAN BOAZEMAN (OWNER/ADMINISTRATOR)
(313) 977-2767
Entity
Organization
Contact information
Practice address
3140 JUANIPERO WAY STE 101, MEDFORD, OR 97504-8647
(541) 323-4800
(541) 508-0330
Mailing address
3140 JUANIPERO WAY STE 101, MEDFORD, OR 97504-8647
(541) 323-4800
(541) 508-0330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
05/18/2026
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