Individual
MR. VANCE KENT MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1433 SE MAIN, ROSEBURG, OR 97470-4213
(541) 440-1000
Mailing address
1433 SE MAIN ST, ROSEBURG, OR 97470-4213
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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