Individual
MR. GARY HENRY HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CADC II
Contact information
Practice address
3180 CENTER ST NE, DRUG TREATMENT, SALEM, OR 97301-4532
(503) 588-5358
(503) 361-2688
Mailing address
1748 COTTAGE ST SE, SALEM, OR 97302-3020
(503) 585-4982
(503) 361-2688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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