Individual
MIKEL-ANNE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
(503) 831-1726
Mailing address
1201 SW BRYSON ST, DALLAS, OR 97338-1360
(503) 496-2889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
10/23/2024
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