Individual
NACOLE CAVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, QMHA
Contact information
Practice address
2905 RIVER RD S, SALEM, OR 97302-9754
(503) 930-9862
Mailing address
2905 RIVER RD S, SALEM, OR 97302-9754
(503) 930-9862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500657056
—
OR
Enumeration date
06/17/2014
Last updated
06/17/2014
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