Individual
JANET LYND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
149 S MAIN ST, PHOENIX, OR 97535-6631
(541) 292-7340
Mailing address
506 ALDIN CIR, TALENT, OR 97540-9748
(541) 953-9402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-07-25
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-07-25
MHACBO
OR
Enumeration date
04/29/2019
Last updated
04/29/2019
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