Individual
PATRICE CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II, QMHA II
Contact information
Practice address
1050 PRICE RD SE, ALBANY, OR 97322-7314
(541) 928-9681
(541) 928-5990
Mailing address
1050 PRICE RD SE, ALBANY, OR 97322-7314
(541) 928-9681
(541) 928-5990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/18/2016
Last updated
09/14/2024
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