Individual
JAMIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 492-0241
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 492-0241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-18-159
OR
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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