Individual
CAROL LYNN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
2555 MAIN STREET, KLAMATH FALLS, OR 97603-0000
(541) 516-4087
(540) 504-1195
Mailing address
PO BOC 1710, REDMOND, OR 97756-0000
(541) 516-4087
(541) 516-4087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
100905
OR
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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