Individual
AUGUSTINA CREES-ROOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
356 NE BEACON DR, GRANTS PASS, OR 97526-3815
(541) 474-1033
(541) 474-0770
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 474-1033
(541) 474-0770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-03-07
OR
Other
Enumeration date
02/12/2016
Last updated
07/29/2021
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