Individual
MRS. ANN M CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI, QMHP, MSW
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
(503) 434-9846
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
(503) 434-9846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
060708
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
11/25/2014
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