Individual
ANNE MANDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 W UMPQUA ST, ROSEBURG, OR 97471-2979
(541) 900-1506
Mailing address
545 W UMPQUA ST, ROSEBURG, OR 97471-2979
(541) 900-1506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/04/2021
Last updated
07/23/2025
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