Individual
NOUNOUCHE CHORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, CDP
Contact information
Practice address
720 NW 6TH ST, GRANTS PASS, OR 97526-1524
(541) 955-9227
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-9777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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