Individual
MS. VICTORIA LEE STAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSSW
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801
(541) 966-9830
(541) 278-7572
Mailing address
PO BOX 1004, PENDLETON, OR 97801-0020
(541) 278-3766
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-03-63
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
020363
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
06/20/2008
Last updated
10/08/2018
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