Individual
FROUKJE TRIJNTJE SPAAK-POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 NW SPRINGHILL DR, ALBANY, OR 97321-1748
(541) 967-6580
Mailing address
35417 TENNESSEE RD SE, ALBANY, OR 97322-9737
(541) 905-4651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14-12-39
OR
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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