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Individual

MS. KRISTINE LEE FREEZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC I

Contact information

Practice address
91150 N COBURG INDUSTRIAL WAY, COBURG, OR 97408-9512
(541) 687-1110
Mailing address
91150 N COBURG INDUSTRIAL WAY, COBURG, OR 97408-9512
(541) 687-1110

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-R-01
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
6249
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
6249
OR

Other

Enumeration date
02/25/2009
Last updated
02/12/2026
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