Individual
DEVERY M. SALUSKIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC1
Contact information
Practice address
635 MAIN ST, KLAMATH FALLS, OR 97601-6007
(541) 882-1487
(541) 884-1851
Mailing address
3949 S 6TH ST, KLAMATH FALLS, OR 97603-4746
(541) 882-1487
(541) 882-1670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-07-04
OR
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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