Individual
CRYSTAL MARIE DONLEY BURGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC R
Contact information
Practice address
810 MARSHALL ST, JORDAN VALLEY, OR 97910-9516
(775) 232-9325
(541) 586-3096
Mailing address
PO BOX 184, JORDAN VALLEY, OR 97910-0184
(775) 232-9325
(541) 586-3096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4758
OR
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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