Individual
MAURICE V BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-02-10633
OR
405300000X
Prevention Professional
THW000104154
OR
Other
Enumeration date
06/09/2021
Last updated
02/08/2023
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