Individual
PETER KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1266 44TH AVE, SWEET HOME, OR 97386-1235
(541) 409-1206
(541) 367-1995
Mailing address
PO BOX 724, FOSTER, OR 97345-0724
(541) 409-1206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CO734
OR
101YP2500X
Professional Counselor
Primary
CO734
OR
Other
Enumeration date
11/10/2018
Last updated
11/10/2018
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