Individual
MR. PAUL RAY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCS, ADCII
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
1929 PARKWOOD AVE, CENTRAL POINT, OR 97502-1629
(541) 664-7406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1291
AR
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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