Individual
MS. DELINA LYNN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
200 GWEE-SHUT ROAD, SILETZ, OR 97380
(541) 444-8286
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
(541) 444-8286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-09-19
OR
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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