Individual
NICOLE CLAUDETTE COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 25TH ST SE, SALEM, OR 97301-5049
(503) 399-7400
(503) 399-7575
Mailing address
770 HOYT ST SE, SALEM, OR 97302-3730
(503) 689-1009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
10/02/2007
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