Individual
MUNI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 MCLEOD LN NE APT 104, KEIZER, OR 97303-2329
(503) 501-6991
Mailing address
5455 MCLEOD LN NE APT 104, KEIZER, OR 97303-2329
(503) 501-6991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
01/21/2019
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