Individual
MARIAH B STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
110 SW 20TH ST, PENDLETON, OR 97801-1869
(541) 429-8261
Mailing address
PO BOX 324, ATHENA, OR 97813-0324
(541) 377-0003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8352211
OR
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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