Individual
CHRISTINE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 LIBERTY ST SE, SALEM, OR 97302-5159
(503) 510-0575
Mailing address
4676 COMMERCIAL ST SE # 3, SALEM, OR 97302-1902
(503) 510-0575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2009
Last updated
09/01/2010
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