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Individual

MAXINE MARIE ROXANNA HOWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSS

Contact information

Practice address
647 W LUELLEN DR STE 3, ROSEBURG, OR 97471-2661
(541) 214-0447
(541) 440-9665
Mailing address
1193 LOCKWOOD RD # 4, ROSEBURG, OR 97471-9733
(541) 643-8173

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/01/2012
Last updated
02/14/2024
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