Individual
TRINITIE MARIAN LONG HINDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 S 5TH ST, COTTAGE GROVE, OR 97424-2008
(541) 767-4260
Mailing address
75 S 5TH ST, COTTAGE GROVE, OR 97424-2008
(541) 767-4260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-4812
OR
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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