Individual
CHARLES A YOUMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
205 NE 4TH ST, PRINEVILLE, OR 97754-1925
(541) 416-1095
(541) 416-0991
Mailing address
205 NE 4TH ST, PRINEVILLE, OR 97754-1925
(541) 416-1095
(541) 416-0991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5-11-75
OR
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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