Individual
SHARON I BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
(541) 240-8754
Mailing address
PO BOX 160, PENDLETON, OR 97801-0160
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-07-24
OR
405300000X
Prevention Professional
19-07-24
OR
Other
Enumeration date
03/04/2022
Last updated
03/17/2023
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