Individual
WENDY LEE PATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, QMHA, CADC I
Contact information
Practice address
3878 BEVERLY AVE NE, SALEM, OR 97305-1394
(503) 399-0670
Mailing address
3878 BEVERLY AVE NE, SALEM, OR 97305-1394
(503) 399-0670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-09-41
OR
Other
Enumeration date
01/07/2015
Last updated
06/17/2016
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