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Individual

DAVID NOLE MUSGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADCII, NCACII, SAP

Contact information

Practice address
105 FIR ST STE 321, LA GRANDE, OR 97850-2663
(541) 963-4005
(541) 663-8144
Mailing address
105 FIR ST STE 321, LA GRANDE, OR 97850-2663
(541) 963-4005
(541) 663-8144

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/02/2012
Last updated
02/02/2012
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