Individual
KASIE ANNOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Mailing address
4825 CHAN ST S, SALEM, OR 97306-2411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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