Individual
KELLY JANE ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 NE PATTERSON ST, ROSEBURG, OR 97470-3865
(416) 925-2691
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/30/2021
Last updated
02/22/2024
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