Individual
CELESTA WOLLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 WATER AVE NW, ALBANY, OR 97321-2298
(541) 507-6462
Mailing address
213 WATER AVE NW, ALBANY, OR 97321-2298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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