Individual
JONATHAN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC CANDIDATE
Contact information
Practice address
1052 SW 4TH AVE, ONTARIO, OR 97914-2118
(541) 216-6068
Mailing address
PO BOX 658, ONTARIO, OR 97914-0658
(541) 216-6068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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