Individual
MR. E. ALLAN HALLIFAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
221 SE FORD ST, MCMINNVILLE, OR 97128-6113
(541) 914-6584
Mailing address
221 SE FORD ST, MCMINNVILLE, OR 97128-6113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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