Individual
TONI J KINSER-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE STE 150, SALEM, OR 97302-1172
(541) 391-9762
(503) 315-2019
Mailing address
315 14TH AVE SE, ALBANY, OR 97322-3319
(541) 905-2104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-03-18
OR
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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