Individual
JESSIE BROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-08-03
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/03/2015
Last updated
11/17/2022
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