Individual
JARED HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-09-63 CADCII
OR
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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