Individual
KIMBERLY JEAN LASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91150 INDUSTRIAL WAY, COBURG, OR 97408
(541) 687-1110
Mailing address
34611 GAROUTTE RD, COTTAGE GROVE, OR 97424-8536
(541) 579-0323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-556
OR
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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