Individual
JUSTIN JAMES DELORETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, QMHP
Contact information
Practice address
3876 BEVERLY AVE NE BLDG G, SALEM, OR 97305-1319
(503) 585-4977
Mailing address
3876 BEVERLY AVE NE BLDG G, SALEM, OR 97305-1319
(503) 585-4977
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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