Individual
NICOLE ALEXANDRA JANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 SILVERTON RD NE, SALEM, OR 97301-0100
(503) 588-5351
Mailing address
625 SE SHERIDAN RD APT D1, SHERIDAN, OR 97378-2008
(503) 849-1159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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