Individual
PATTI L MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
2555 MAIN ST, KLAMATH FALLS, OR 97601
(541) 883-2795
(541) 883-8194
Mailing address
2555 MAIN ST, KLAMATH FALLS, OR 97601
(541) 883-2795
(541) 883-8194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603125
—
OR
Enumeration date
09/28/2010
Last updated
09/28/2010
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