Individual
DAMON MICHAEL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
422 N MAIN ST, CONDON, OR 97823-7651
(541) 384-2666
Mailing address
PO BOX 293, CONDON, OR 97823-0293
(541) 390-5357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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