Individual
SHERRY MELENA ZACHARIAS FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II, CGAC II
Contact information
Practice address
2100 MAIN ST., NEW DIRECTIONS, BAKER CITY, OR 97814
(541) 523-8364
Mailing address
2100 MAIN ST., NEW DIRECTIONS, BAKER CITY, OR 97814
(541) 523-8364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-03-43
OR
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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