Individual
ANDREA BOOTHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
340 NW 5TH ST STE 202, REDMOND, OR 97756-1869
(541) 504-2218
(541) 504-1195
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 504-2218
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-04-04
OR
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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