Individual
CHRISTOPHER MICHAEL CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91150 N COBURG INDUSTRIAL WAY, COBURG, OR 97408-9512
(541) 687-1110
Mailing address
40159 HIGHWAY 228, SWEET HOME, OR 97386-9612
(541) 409-6344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3594
OR
Other
Enumeration date
02/20/2024
Last updated
02/22/2024
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