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Individual

MS. BARBARA L JOQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADCI

Contact information

Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5351
Mailing address
PO BOX 242, SALEM, OR 97308-0242
(503) 588-5351

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01-03-15
OR
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-03-15
AOD CERTIFICATION NUMBER
OR
Enumeration date
12/20/2006
Last updated
09/11/2025
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