Individual
DUSTIN BREITWIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1922
(503) 623-9289
Mailing address
1355 CENTENNIAL DR SE, SALEM, OR 97302-1718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
10/22/2024
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