Individual
LAURIE CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 361-2641
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 361-2641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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