Individual
MAILE KALUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAB
Contact information
Practice address
3647 OR-39, KLAMATH FALLS, OR 97603
(541) 884-5244
Mailing address
1134 GRANT ST, KLAMATH FALLS, OR 97601-2549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
12/06/2019
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