Individual
ELIA BAROCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
131 MENLO DR N, KEIZER, OR 97303-5534
(503) 304-4358
(503) 304-4361
Mailing address
PO BOX 20674, KEIZER, OR 97307-0674
(503) 304-4358
(503) 304-4361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06-07-03
OR
Other
Enumeration date
08/16/2010
Last updated
04/09/2015
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