Individual
DESIREE VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA, CADC1
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 399-0670
(503) 399-0655
Mailing address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 399-0670
(503) 399-0655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
263634042
OR
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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