Individual
JAIME DAWN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC I, QMHA-R
Contact information
Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
Mailing address
PO BOX 215, HINES, OR 97738-0215
(541) 589-0905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-04-28
OR
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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