Individual
TANYA LOUISE VALDEZ-SNOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
777 MURPHY RD, MEDFORD, OR 97504-8425
(415) 772-2763
(415) 734-3164
Mailing address
777 MURPHY RD, MEDFORD, OR 97504-8425
(415) 772-2763
(415) 734-3164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-19-149
OR
175T00000X
Peer Specialist
19-CRM-008
OR
Other
Enumeration date
09/11/2018
Last updated
10/19/2020
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