Individual
ANDREA VANAUKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 479-8847
Mailing address
109 NE MANZANITA AVE, GRANTS PASS, OR 97526-1400
(541) 479-8847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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