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Individual

DESIREE N MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRM, CADC-R

Contact information

Practice address
200 SE HAILEY AVE STE 204, PENDLETON, OR 97801-3072
(541) 963-4104
(541) 429-8822
Mailing address
PO BOX 882, PENDLETON, OR 97801-0882
(541) 429-8844
(541) 429-8822

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18CRM066
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
T19458
OR
175T00000X
Peer Specialist
Primary
18CRM066
OR

Other

Enumeration date
07/15/2021
Last updated
07/15/2021
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